Individual
MR. JOHN L PRINZIVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
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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