Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRUCE ALAN CAVANAUGH, PA-C

Active

Medical Physician Assistant · WOODSTOCK, MD

Registration Details

NPI Number: 1689633414
Provider Type: Individual
Gender: Male
NPI Issued: Mar 21, 2006 (20.087264201264 yrs)
Last Updated: Apr 13, 2016
Licenses: C002022 (MD)

C002022 (MD)

Practice Information

Address: 9987 VILLAGE GREEN DR

WOODSTOCK, MD, 211631155
Browse 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.