Provider Demographics
NPI:1568722551
Name:BRITO, JOSEPH MATHEW III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MATHEW
Last Name:BRITO
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Other - Suffix:
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Mailing Address - Street 1:375 POPPASQUASH RD
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-1010
Mailing Address - Country:US
Mailing Address - Phone:401-487-2276
Mailing Address - Fax:
Practice Address - Street 1:789 HOWARD AVE # FMP302
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1304
Practice Address - Country:US
Practice Address - Phone:203-785-7671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT56686208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty