NPI 1316120710

Michael K Gavigan DPM

Organisation Exclusive Provider Organization Pocasset, MA

Practice location

Address: 4 Barlows Landing Rd #17, Pocasset, MA 02559-1980
Phone: (508) 563-7133
Fax: (508) 563-6771
Mailing address: 4 Barlows Landing Rd STE 17 P.O Box 3227, Pocasset, MA 02559-1984

Authorised official

Name: Sandra Michelle Wright
Title: Office Manager
Phone: (508) 563-7133

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1770 (MA)

Other Exclusive Provider Organization providers in Massachusetts →

Registry record

NPI: 1316120710
Entity type: Organization
NPI issued: 10 Dec 2007
Record last updated: 20 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.