Doctor Name: | MICHAEL FRANCIS CAVANAUGH |
NPI Number: | 1477566883 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD031574E |
Business Practice Address: | 1401 Bethlehem Pike Flourtown, PA - 190311904 |
Business Phone Number: | 2152331001 |
Business Fax Number: | 2152339749 |
Mailing Address: | 604 Meadowview Ct, MAPLE GLEN |
State: | PA |
Postal Code: | 190022330 |
Phone Number: | 2156433423 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD031574E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |