Cavanaugh, Bruce Alan

Cavanaugh, Bruce Alan is an individual health care provider with primary practice located at 9987 Village Green Dr , Woodstock MD 21163-1155. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Cavanaugh, Bruce Alan can be contacted via phone (443) 570-2782.

Contact Information

Primary practice address
9987 Village Green Dr Woodstock MD 21163-1155
Phone: (443) 570-2782
Fax: (443) 570-2782
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C002022 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C002022 Maryland

Profile Details

NPI number 1689633414
LBN Legal business name Cavanaugh, Bruce Alan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Apr 13th, 2016 - about 9 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.

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