Active NPIIndividual providerSole proprietor

Mr. Patrick J Canavan, PA-C

Physician Assistant in Tewksbury, Massachusetts

NPI Number1194434951
Practice location
82 Juniper Ln, Tewksbury, MA 01876-1271
Fax
—
Last updated
November 21, 2022

Patrick Joseph Canavan is a Physician Assistant based in Tewksbury, MA. Patrick Joseph Canavan practices in Tewksbury, MA and has the professional credentials of PA-C. The NPI Number for Patrick Joseph Canavan is 1194434951. The current practice location address for Patrick Joseph Canavan is 82 Juniper Ln, Tewksbury, MA 01876-1271 and can be reached out via phone at 781-475-2456.

Provider Profile Details

NPI Number
1194434951
Provider Name
Patrick Joseph Canavan
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
82 Juniper Ln, Tewksbury, MA 01876-1271
Phone Number
781-475-2456
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 21, 2022
Last Update Date
November 21, 2022
Certification Date
November 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
82 Juniper Ln
Tewksbury, MA 01876-1271
Zip
01876-1271
Phone Number
781-475-2456
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
82 Juniper Ln
Tewksbury, MA 01876-1271
City
Tewksbury
State
MA
Zip
01876-1271
Phone Number
781-475-2456

License Information

Taxonomy
Physician Assistant · 363A00000X · 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 Mr. Patrick J Canavan, PA-C?

The NPI number of Mr. Patrick J Canavan, PA-C is 1194434951. It was assigned on November 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Mr. Patrick J Canavan, PA-C?

Mr. Patrick J Canavan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Mr. Patrick J Canavan, PA-C practice?

The practice location is 82 Juniper Ln, Tewksbury, MA 01876-1271. The office can be reached at 781-475-2456 (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 1194434951 directly on the NPPES registry website.

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