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Individual

MR. JOHN L PRINZIVALLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
31 HALL DR, AMHERST, MA 01002-2751
(413) 256-8561
(866) 644-0869
Mailing address
31 HALL DR, AMHERST, MA 01002
(413) 256-8561
(866) 644-0869

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7665
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0399329
MA
01
2329180
AETNA US HEALTHCARE
MA
01
24189
HEALTH NEW ENGLAND
MA
01
408459
TUFTS HEALTH PLAN
MA
01
626166
HARVARD PILGRIM HEALTHCAR
MA
01
650020185
RAILROAD MEDICARE
MA
01
712451
CONNECTICARE
MA
01
Y67776
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/14/2006
Last updated
12/13/2023
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