Individual
MR. DONALD VINCENT CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
141 S MARKET ST, NEW WILMINGTON, PA 16142-1201
(724) 946-2714
(724) 946-8718
Mailing address
141 S MARKET ST, NEW WILMINGTON, PA 16142-1201
(724) 946-2714
(724) 946-8718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055847
PA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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