IndividualActive
Fergal Kavanagh, MB, BCH, BAO
NPI 1043840432 · Pediatric Otolaryngology Physician · Boston, MA
Provider details
- NPI number
- 1043840432
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MB, BCH, BAO
- Sex
- Male
- Sole proprietor
- No
- License
- 282066 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
Approximate (ZIP-level) locationGet directions
Mailing address
269 Commonwealth Ave # a
Boston, MA 02116-1600
Registry dates
- Enumerated
- 2020-01-24
- Last updated
- 2020-01-24
- Certified
- 2020-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.