Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE ALAN CAVANAUGH, PA-C
ActiveMR. BRUCE ALAN CAVANAUGH, PA-C is a Medical Physician Assistant healthcare provider located in WOODSTOCK, Maryland. NPI 1689633414 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WOODSTOCK, MD
Registration Details
- NPI Number
- 1689633414
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2006 (20.439429909355 yrs)
- Last Updated
- Apr 13, 2016
- Licenses
-
C002022 (MD)C002022 (MD)
Practice Information
- Address
-
9987 VILLAGE GREEN DRWOODSTOCK, MD, 211631155Browse MD providers · Browse ZIP 21163
- Phone
- 4435702782
- Fax
- 4435702782
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.