Provider Demographics
NPI:1710091772
Name:JOSEPH C. CAMBIO, MD LTD
Entity Type:Organization
Organization Name:JOSEPH C. CAMBIO, MD LTD
Other - Org Name:RHODE ISLAND UROLOGICAL SPECIALTIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:M
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:401-828-7110
Mailing Address - Street 1:207 QUAKER LANE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893
Mailing Address - Country:US
Mailing Address - Phone:401-828-7110
Mailing Address - Fax:401-827-6364
Practice Address - Street 1:207 QUAKER LANE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893
Practice Address - Country:US
Practice Address - Phone:401-828-7110
Practice Address - Fax:401-827-6364
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOSEPH C. CAMBIO, MD LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-18
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPHS00004261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI0332790001Medicare NSC