Organization
DR MICHAEL K GAVIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA JOAN LAWRENCE (OFFICE BILLER)
(508) 563-7133
Entity
Organization
Contact information
Practice address
4 BARLOWS LANDING RD STE 17, POCASSET, MA 02559-1984
(508) 563-7133
Mailing address
PO BOX 3227, STE 17, POCASSET, MA 02559-3227
(508) 563-7133
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361704
—
MA
Enumeration date
03/03/2008
Last updated
09/04/2013
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