Individual
MR. BRUCE ALAN CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9987 VILLAGE GREEN DR, WOODSTOCK, MD 21163-1155
(443) 570-2782
(443) 570-2782
Mailing address
9987 VILLAGE GREEN DR, WOODSTOCK, MD 21163-1155
(443) 570-2782
(443) 570-2782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C002022
MD
363AM0700X
Medical Physician Assistant
Primary
C002022
MD
Other
Enumeration date
03/21/2006
Last updated
04/13/2016
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