Provider Demographics
NPI:1154487684
Name:DUCHARME, JOSEPH FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FRANCIS
Last Name:DUCHARME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:78 BAKER ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4417
Mailing Address - Country:US
Mailing Address - Phone:401-831-4592
Mailing Address - Fax:401-831-4643
Practice Address - Street 1:78 BAKER STREET
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-4417
Practice Address - Country:US
Practice Address - Phone:401-831-4592
Practice Address - Fax:401-831-4643
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RI9194207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRI0613OtherHEALTH NET OF NORTHEAST
RI151080OtherHARVARD PILGRIM HEALTHCARE
RI9809OtherNEIGHBORHOOD HEALTH PLAN OF RI
RI20324OtherBCBS OF RHODE ISLAND
RI180035621OtherRAILROAD MEDICARE
RI400286OtherBCBS - BLUE CHIP
RI9020324Medicaid
RI180035621OtherRAILROAD MEDICARE
RI189020324Medicare PIN