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NPI Code Detail

MEDICARE: MR. JOSEPH C CABRAL CRNA

MEDICARE: MR. JOSEPH C CABRAL CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician99338MA

General Provider Information

NPI Number : 1609921410
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH C CABRAL CRNA
Provider Business Mailing Address
First Line : 19 OLD LANGMORE WAY
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-8262
Country : US
Telephone Number : 508-209-0359
Fax Number :
Provider Business Practice Location Address
First Line : 696 MAIN ST
Second Line :
City : WEYMOUTH
State : MA
Zip : 02190-1842
Country : US
Telephone Number : 781-331-3820
Fax Number : 781-331-1076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 01/11/2026

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