Active NPIIndividual provider

Dr. Fergal Kavanagh, MB, BCH, BAO

Otolaryngology, Pediatric Otolaryngology in Boston, Massachusetts

NPI Number1043840432
Practice location
300 Longwood Ave, Boston, MA 02115-5724
Fax
—
Last updated
January 24, 2020

Fergal Kavanagh is an Otolaryngology, Pediatric Otolaryngology based in Boston, MA. Fergal Kavanagh practices in Boston, MA and has the professional credentials of MB, BCH, BAO. The NPI Number for Fergal Kavanagh is 1043840432 and holds a License No. 282066 (MA). The current practice location address for Fergal Kavanagh is 300 Longwood Ave, Boston, MA 02115-5724 and can be reached out via phone at 617-355-6000.

Provider Profile Details

NPI Number
1043840432
Provider Name
Fergal Kavanagh
Credential
MB, BCH, BAO
Provider Entity Type
Individual
Gender
Male
Address
300 Longwood Ave, Boston, MA 02115-5724
Phone Number
617-355-6000
Primary Taxonomy
Otolaryngology, Pediatric Otolaryngology · 207YP0228X
Sole Proprietor
No
Provider Enumeration Date
January 24, 2020
Last Update Date
January 24, 2020
Certification Date
January 24, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Longwood Ave
Boston, MA 02115-5724
City
Boston
Zip
02115-5724
Phone Number
617-355-6000
Boston, MA 02115Get directions →

Provider Business Mailing Address Details

Address
269 Commonwealth Ave # A
Boston, MA 02116-1600
City
Boston
State
MA
Zip
02116-1600
Phone Number
617-416-1361

License Information

License Number
282066
License State
MA
Taxonomy
Otolaryngology, Pediatric Otolaryngology · 207YP0228X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Fergal Kavanagh, MB, BCH, BAO?

The NPI number of Dr. Fergal Kavanagh, MB, BCH, BAO is 1043840432. It was assigned on January 24, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Fergal Kavanagh, MB, BCH, BAO?

Dr. Fergal Kavanagh, MB, BCH, BAO is registered under the primary taxonomy Otolaryngology, Pediatric Otolaryngology (code 207YP0228X), licensed in MA under license number 282066.

Where does Dr. Fergal Kavanagh, MB, BCH, BAO practice?

The practice location is 300 Longwood Ave, Boston, MA 02115-5724. The office can be reached at 617-355-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043840432 directly on the NPPES registry website.

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