Provider Demographics
NPI:1679555395
Name:JOSEPH C CAMBIO MD LTD
Entity type:Organization
Organization Name:JOSEPH C CAMBIO MD LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:CAMBIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-828-7110
Mailing Address - Street 1:207 QUAKER LN
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 LN
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI0332790001Medicare NSC