Individual
DR. THOMAS J. CAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 TIMBER LN, SOUTH BURLINGTON, VT 05403-5203
(802) 864-2010
Mailing address
55 TIMBER LN, SOUTH BURLINGTON, VT 05403-5203
(802) 864-2010
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0420007193VT
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005187
—
VT
01
—
P00049356
RAIL ROAD MEDICARE
VT
Enumeration date
05/25/2006
Last updated
04/25/2008
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