Individual
BRIAN F KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 GREENWICH OFFICE PARK, GREENWICH, CT 06831-5151
(203) 869-1145
(203) 618-1721
Mailing address
6 GREENWICH OFFICE PARK, GREENWICH, CT 06831-5151
(203) 869-1145
(203) 618-1721
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
031000
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200032635
RAILROAD MEDICARE
CT
Enumeration date
02/06/2006
Last updated
03/09/2017
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