DR. Jason Edward Cavanaugh, OD

NPI #1124183660 in Lisbon, Connecticut

Provider Information

NPI Number: 1124183660
Entity Type: Individual
Name: DR. Jason Edward Cavanaugh, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 180 RIVER RD
City: Lisbon
State: Connecticut
ZIP Code: 06351
Phone: (860) 376-8431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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