NPI 1043840432

Fergal Kavanagh, MBBCHBAO

Practitioner Pediatric Otolaryngology Physician Boston, MA

Practice location

Address: 300 Longwood Ave, Boston, MA 02115-5724
Phone: (617) 355-6000
Mailing address: 269 Commonwealth Ave # a, Boston, MA 02116-1600

Registered specialties

Pediatric Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YP0228X Licence 282066 (MA)

Other Otolaryngology providers in Massachusetts →

Registry record

NPI: 1043840432
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2020
Record last updated: 24 Jan 2020

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.