Individual
TIMOTHY S CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1288 ROUTE 73 SOUTH, SUITE 100, MT LAUREL, NJ 08054
(856) 273-8900
(856) 802-9772
Mailing address
PO BOX 34990, BELFAST, ME 04915-0627
(610) 359-5672
(833) 941-3871
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00098900
NJ
363AM0700X
Medical Physician Assistant
MA050758
PA
Other
Enumeration date
11/10/2006
Last updated
12/08/2025
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