Provider Demographics
NPI:1043292089
Name:BIGDA, MARK ALBERT (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:ALBERT
Last Name:BIGDA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:179 NORTHAMPTON ST STE D
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-1057
Mailing Address - Country:US
Mailing Address - Phone:413-529-9282
Mailing Address - Fax:413-527-7526
Practice Address - Street 1:179 NORTHAMPTON ST STE D
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1057
Practice Address - Country:US
Practice Address - Phone:413-529-9282
Practice Address - Fax:413-527-7526
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2025-01-07
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Provider Licenses
StateLicense IDTaxonomies
MA71687207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110074429OtherRR MEDICARE
110074429OtherTRICARE
724707OtherCONNECTICARE SELECT
MA000000008032OtherBOSTON MEDICAL HEALTH NET
MA10615OtherHEALTH NEW ENGLAND
MA732090OtherTUFTS
M18221OtherBLUECROSS BLUESHIELD GRP
J09439OtherBLUECROSS BLUESHIELD IND
NY21N80OtherEMPIRE BC BS
MA3058581Medicaid
10250601OtherCIGNA
MA62810OtherHARVARD PILGRIM
2037537OtherAETNA
724707OtherCONNECTICARE SELECT
MA3058581Medicaid