John Cavenagh, PA

NPI 1649271313 · on the registry since 2005

Practice

Address: 4190 City Line Ave
Suite 315
Philadelphia, PA 19131
Phone: (215) 871-6380
Fax: (215) 871-6381
Organisation at this address: Ent R Net Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363A00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania