Provider Demographics
NPI:1932553641
Name:CABRAL, PAUL TOMAS JR (DO)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:TOMAS
Last Name:CABRAL
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:329 CONWAY STREET
Mailing Address - Street 2:GREENFIELD HEALTH CENTER
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301
Mailing Address - Country:US
Mailing Address - Phone:413-774-6301
Mailing Address - Fax:866-644-0871
Practice Address - Street 1:329 CONWAY ST
Practice Address - Street 2:GREENFIELD HEALTH CENTER
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1521
Practice Address - Country:US
Practice Address - Phone:413-774-6301
Practice Address - Fax:866-644-0871
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2023-03-15
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Provider Licenses
StateLicense IDTaxonomies
MA289963207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA289963OtherLICENSE NUMBER