Individual
PATRICK JOSEPH GAVIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8790
Mailing address
PO BOX 855, HERSHEY, PA 17033-0855
(717) 531-8790
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
54450
TN
2080P0208X
Pediatric Infectious Diseases Physician
Primary
54450
TN
2080P0208X
Pediatric Infectious Diseases Physician
MD466866
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2013
Last updated
12/29/2020
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