Individual
DR. MICHAEL K GAVIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4 BARLOWS LANDING RD, SUITE #17, POCASSET, MA 02559-1980
(508) 563-7133
(508) 563-6771
Mailing address
PO BOX 3227, SUITE #17, POCASSET, MA 02559-3227
(508) 563-7133
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1770
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0361704
MEDICAID
MA
01
—
1588779607
BCBS
—
01
—
27-07976
EVERCARE
NJ
01
—
33081
HPHC
MA
01
—
710223
TUFTS
MA
Enumeration date
08/20/2006
Last updated
09/04/2013
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