Individual
MRS. MARY KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NR
Contact information
Practice address
35D PIERMONT ROAD, ROCKLEIGH, NJ 07647
(201) 784-6490
(201) 784-6495
Mailing address
48 OSBORNE CT, MAHWAH, NJ 07430-3202
(201) 529-9007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR07468500
NJ
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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