Individual
DR. FERGAL KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB, BCH, BAO
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
269 COMMONWEALTH AVE # A, BOSTON, MA 02116-1600
(617) 416-1361
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
282066
MA
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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