Individual
MR. CHRISTOPHER ALAN CAVANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
85 SEYMOUR ST, HARTFORD, CT 06106-5501
(860) 545-2561
Mailing address
214 S MAIN ST, MANCHESTER, CT 06040-6546
(860) 836-9168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000530
CT
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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