Individual
MS. BREANNA CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 WASHINGTON ST STE 520, NORWICH, CT 06360-2700
(860) 425-5300
Mailing address
330 WASHINGTON ST STE 520, NORWICH, CT 06360-2700
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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