Individual
JOHN CAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1076 N MAIN ST, PROVIDENCE, RI 02904-5760
(401) 273-2460
(401) 273-2489
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD11115
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007061127
MEDICARE PTAN
RI
05
—
JC50303
—
RI
Enumeration date
03/28/2006
Last updated
04/21/2020
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