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NPI Code Detail

MEDICARE: DR. JOSEPH D PAQUETTE M.D.

MEDICARE:  DR. JOSEPH D PAQUETTE  M.D.
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
1207Q00000XFamily Medicine Physician0101033516VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10CO2375OTHERVAMEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
182930OTHERVAMAMSI HMO
24091710OTHERVAAETNA NON HMO
30897762OTHERVAAETNA HMO
4CA9037OTHERVAMCR RAILROAD GROUP
500090766OTHERVAAETNA CAP
6285290OTHERVAANTHEM
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
822930OTHERVAMAMSI PPO
90101033516OTHERVALICENSE

General Provider Information

NPI Number : 1831160902
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH D PAQUETTE M.D.
Provider Business Mailing Address
First Line : PO BOX 1460
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22402-1460
Country : US
Telephone Number : 540-786-2100
Fax Number : 540-786-0677
Provider Business Practice Location Address
First Line : 300 PARK HILL DR
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-3387
Country : US
Telephone Number : 540-361-7641
Fax Number : 540-361-1246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 03/21/2012

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