Individual provider · NPI-1
Colleen P Cavanaugh, M.D.
Obstetrics & Gynecology, Gynecology · Pawtucket, RI
NPI number1962460980
StatusActive
Last updated in NPPESMar 30, 2021
Details
- NPI
- 1962460980
- Entity type
- Individual (NPI-1)
- Name
- Colleen P Cavanaugh
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2006
- Certification date
- Mar 30, 2021
- Last updated
- Mar 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | MD08292 | RI | Yes |
| 207V00000X | Obstetrics & Gynecology | 82169 | MA | |
| 207V00000X | Obstetrics & Gynecology | MD08292 | RI |
Practice location
333 School StSuite 205
Pawtucket, RI 02860-5334
Phone 401-724-0600
Mailing address
333 School StSuite 205
Pawtucket, RI 02860-5334
Phone 401-724-0600
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