Cavanagh, Norman J
Cavanagh, Norman J is an individual health care provider with primary practice located at 399 Farmington Ave Suite 200, Farmington CT 06032-1936. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Cavanagh, Norman J can be contacted via phone (860) 548-7338.Contact Information
Primary practice address
399 Farmington Ave Suite 200
Farmington CT 06032-1936
Phone: (860) 548-7338
Fax: (860) 524-2654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 006642 | Connecticut |
| Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | 034915 | Connecticut |
Profile Details
| NPI number | 1730195975 |
|---|---|
| LBN Legal business name | Cavanagh, Norman J |
| Credentials | DMD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 27th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730195975 | NPPES |
| Connecticut | MEDICAID | 1730195975 | |
| Connecticut | Other | 5037697 | |
| Connecticut | Other | 076642 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | MEDICAID | 002066421 | |
| Connecticut | Other | 010034915CT01 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 4124672 | |
| Connecticut | Other | P3881605 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 06-1406459 |
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