Healthcare Provider Details

I. General information

NPI: 1558597039
Provider Name (Legal Business Name): MARGARET WELSH CAVANAUGH-HUSSEY M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2009
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 LONGWOOD AVE DIVISIO OF DERMATOLOGY / BRIGHAM AND WOMEN'S HOSPITAL
BOSTON MA
02115-5804
US

IV. Provider business mailing address

221 LONGWOOD AVE DIVISIO OF DERMATOLOGY / BRIGHAM AND WOMEN'S HOSPITAL
BOSTON MA
02115-5804
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-4918
  • Fax:
Mailing address:
  • Phone: 617-732-4918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number2552852
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number255852
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: