Individual
NORMAN J CAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
399 FARMINGTON AVE, SUITE 200, FARMINGTON, CT 06032-1936
(860) 548-7338
(860) 524-2654
Mailing address
17 TALCOTT NOTCH RD, FARMINGTON, CT 06032-1818
(860) 524-2626
(860) 677-5029
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
006642
CT
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
034915
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002066421
—
CT
01
—
010034915CT01
ANTHEM BCBS
CT
01
—
06-1406459
MULTIPLAN
CT
01
—
076642
CONNECTICARE
CT
05
—
1730195975
—
CT
01
—
4124672
AETNA
CT
01
—
5037697
CIGNA
CT
01
—
P3881605
OXFORD
CT
Enumeration date
07/31/2006
Last updated
07/27/2011
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