Individual
RICHARD G KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB,BCH,BAO
Contact information
Practice address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 643-2009
Mailing address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 643-2009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
274774
MA
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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