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Contact Information

FERGAL KAVANAGH, MB, BCH, BAO
300 LONGWOOD AVE
BOSTON, MA02115-5724
 Phone: 617-355-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for FERGAL KAVANAGH · (Male)

NPI # 1043840432
Status Active
Credentials MB, BCH, BAO
Entity Individual
Enumeration date 01/24/2020
Last updated 01/24/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 282066
Hospital affiliation(s) Not Available
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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