Michael K Gavigan Dpm
NPI #1316120710 in Pocasset, Massachusetts
Provider Information
- NPI Number
- 1316120710
- Entity Type
- Organization
- Organization Name
- Michael K Gavigan Dpm
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MICHAEL K GAVIGAN DPM
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Dec 10, 2007
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 4 BARLOWS LANDING RD
- Address 2
- #17
- City
- Pocasset
- State
- Massachusetts
- ZIP Code
- 02559-1980
- Phone
- (508) 563-7133
Authorized Official
- Name
- SANDRA MICHELLE WRIGHT
- Title
- OFFICE MANAGER
- Phone
- (508) 563-7133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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