Individual
JOHN M. CAVENAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4190 CITY LINE AVE, SUITE 315, PHILADELPHIA, PA 19131-1626
(215) 871-6380
(215) 871-6381
Mailing address
4190 CITY LINE AVE, SUITE 315, PHILADELPHIA, PA 19131-1626
(215) 871-6380
(215) 871-6381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA000252L
PA
363A00000X
Physician Assistant
Primary
OA000378L
PA
Other
Enumeration date
08/03/2005
Last updated
04/08/2009
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