Individual
BRIAN F CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
34-36 PROGRESS STREET, SUITE B2, EDISON, NJ 08820
(908) 757-9696
(908) 757-9721
Mailing address
629 CRANBURY RD FL 2, EAST BRUNSWICK, NJ 08816-4096
(732) 390-7750
(732) 390-7725
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MB05551400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0469749
AETNA
—
01
—
110108158
UNITED HEALTHCARE MEDI
—
01
—
1790396281
TITAN HEALTH GROUP NPI#
NJ
01
—
223254679
BLUE SHIELD HORIZON
—
01
—
223254679001
QUALCARE
—
05
—
6556906
—
NJ
01
—
F03506
ACS
—
01
—
J021315
CHAMPUS
—
01
—
P788711
OXFORD HEALTHCARE MEDI
—
Enumeration date
08/16/2006
Last updated
05/20/2023
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