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Individual

DR. GEORGE BRINTON CAVANAGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4201 MITCHELLVILLE RD, SUITE 102, BOWIE, MD 20716-3163
(301) 262-5900
(410) 741-0865
Mailing address
1111 BENFIELD BLVD, SUITE 200, MILLERSVILLE, MD 21108-3002
(410) 729-5100
(410) 729-5156

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0031602
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013140
JHHC PROVIDER NUMBER
MD
01
0472812
AETNA CAPITATED
MD
01
080113969
RAILROAD MEDICARE
MD
01
1370929
CIGNA PIN
MD
01
235426
MAMSI SPECIALIST
MD
05
401571100
MD
01
411788-01
CAREFIRST MD RENDERING
MD
01
4339374
AETNA FEE FOR SERVICE
MD
01
7605-0027
CAREFIRST BLUECHOICE
MD
01
835426
MAMSI PRIMARY CARE
MD
01
P11957
CAREFIRST MPOS
MD
Enumeration date
08/02/2005
Last updated
01/24/2011
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