Provider Demographics
NPI:1659471498
Name:DUQUETTE, JULIE GAY (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:GAY
Last Name:DUQUETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:G
Other - Last Name:DUQUETTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2043 WESTCLIFF DR
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5537
Mailing Address - Country:US
Mailing Address - Phone:949-515-3462
Mailing Address - Fax:949-515-4279
Practice Address - Street 1:2043 WESTCLIFF DR
Practice Address - Street 2:SUITE 302
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5537
Practice Address - Country:US
Practice Address - Phone:949-515-3462
Practice Address - Fax:949-515-4279
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2022-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG74262207ZD0900X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00001799OtherRAILROAD MEDICARE
1801996582OtherNPI 2
CA00G742620Medicaid
CAP00001799OtherRAILROAD MEDICARE
G01674Medicare UPIN