Provider Demographics
NPI:1821008996
Name:CARDAMONE, JOSEPH MICHAEL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:CARDAMONE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2550 UNIVERSITY AVE W STE 110N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-2001
Mailing Address - Country:US
Mailing Address - Phone:651-602-5309
Mailing Address - Fax:651-222-6786
Practice Address - Street 1:11850 BLACKFOOT NE
Practice Address - Street 2:SUITE 100
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-2598
Practice Address - Country:US
Practice Address - Phone:763-712-2100
Practice Address - Fax:763-712-2190
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2017-11-29
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Provider Licenses
StateLicense IDTaxonomies
MN19858207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN3628502OtherSELECT CARE
MN4D388CAOtherBLUE SHIELD
MN3628502OtherMEDICA
MN478378600Medicaid
FM109518OtherUCARE
MNHP13026OtherHEALTH PARTNERS
MN410729979OtherCOMMERCIAL
MN941001OtherPREFERRED ONE
MN3628502OtherMEDICA
MN410729979OtherCOMMERCIAL