Provider Demographics
NPI:1710042817
Name:ADDUCCI, JOSEPH E (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:E
Last Name:ADDUCCI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2438
Mailing Address - Street 2:JOSEPH E ADDUCCI
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58802
Mailing Address - Country:US
Mailing Address - Phone:701-572-0316
Mailing Address - Fax:701-572-7438
Practice Address - Street 1:1213 15TH AVE W
Practice Address - Street 2:JOSEPH E ADDUCCI
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58802-2438
Practice Address - Country:US
Practice Address - Phone:701-572-0316
Practice Address - Fax:701-572-7438
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ND2869207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND598OtherBCBS
MT0031772Medicaid
ND13756Medicaid
ND598Medicare ID - Type Unspecified
MT0031772Medicaid