Provider Demographics
NPI:1609921410
Name:CABRAL, JOSEPH C (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:C
Last Name:CABRAL
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 OLD LANGMORE WAY
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-8262
Mailing Address - Country:US
Mailing Address - Phone:508-209-0359
Mailing Address - Fax:
Practice Address - Street 1:696 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1842
Practice Address - Country:US
Practice Address - Phone:781-331-3820
Practice Address - Fax:781-331-1076
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA99338207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANA0542Medicare ID - Type Unspecified