Individual provider · Type 1 NPI

Stephanie Cabral, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1962070219 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Mailing address

330 Brookline Ave
Boston, MA 02215-5491

Other practice locations

  • 330 Brookline Ave, Boston, MA 02215-5400 · (617) 667-7000

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X288909 (MA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962070219

Stephanie Cabral, MD's National Provider Identifier is 1962070219, issued on Jun 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jun 25, 2024.