Cavanaugh, Raymond Robert

Cavanaugh, Raymond Robert is an sole proprietor health care provider with primary practice located at 10 Federal St Suite 408, Salem MA 01970-3860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cavanaugh, Raymond Robert can be contacted via phone (978) 354-5021.

Contact Information

Primary practice address
10 Federal St Suite 408 Salem MA 01970-3860
Fax: (978) 354-5026
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 48602 Massachusetts

Profile Details

NPI number 1033193032
LBN Legal business name Cavanaugh, Raymond Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2005
Last updated Feb 6th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033193032 NPPES
Massachusetts MEDICAID 0157937

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