Provider Demographics
NPI:1639465305
Name:CABRAL, PATRICIO W (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIO
Middle Name:W
Last Name:CABRAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:171 MAIN ST STE 203B
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1187
Mailing Address - Country:US
Mailing Address - Phone:508-881-3029
Mailing Address - Fax:508-881-1752
Practice Address - Street 1:571 UNION AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5829
Practice Address - Country:US
Practice Address - Phone:508-628-9893
Practice Address - Fax:508-370-0229
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2024-02-27
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Provider Licenses
StateLicense IDTaxonomies
MA258045207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS400159934Medicare PIN