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Contact Information

TIMOTHY S CAVANAUGH, PAC
1288 ROUTE 73 SOUTH
SUITE 100
MOUNT LAUREL, NJ08054
 Phone: 856-273-8900
 Fax: 856-802-9772
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIMOTHY S CAVANAUGH · (Male)

NPI # 1558432922
Status Active
Credentials PAC
Entity Individual
Enumeration date 11/10/2006
Last updated 12/08/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00098900
  • PA License # MA050758
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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