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Contact Information

GEORGE J GAVERN, DO
NVRA BUSINESS OFFICE
385 MAIN ST SOUTH
SOUTHBURY, CT06488
 Phone: 203-264-7999
 Fax: 203-264-7477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for GEORGE J GAVERN · (Male)

NPI # 1073833612
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/05/2010
Last updated 07/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 054089
  • CT Other D400227517 DIA
  • CT Other D400227516 DIS
  • CT Other D400227511 MRI
  • CT Other D400227521 NVRA
  • CT Other D400227523 PDI
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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