Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 26272 | MA |
N | 207KA0200X | Allergist | 26272 | MA |
N | 2080P0201X | Pediatric Allergist | 26272 | MA |
NPI | 1659482214 |
---|---|
Provider Name | James J Cavanaugh |
First Address | Hyannis, MA 02601-1417 |
Second Address | Hyannis, MA 02601-3109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |