Provider Demographics
NPI:1821072109
Name:KIRKPATRICK, JOSEPH G JR (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:G
Last Name:KIRKPATRICK
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-368-3130
Mailing Address - Fax:508-368-3133
Practice Address - Street 1:123 SUMMER ST
Practice Address - Street 2:SUITE 290 N
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1312
Practice Address - Country:US
Practice Address - Phone:508-368-3130
Practice Address - Fax:508-368-3133
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA70386207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA2359OtherHARVARD PILGRIM HLTHCARE
J09324OtherBLUE SHIELD HMO BLUE
J09324OtherMEDICARE B
3055655OtherMEDICAID/WELFARE
784042OtherMVP HEALTH CARE
26822OtherHEALTHY START
J09324OtherBLUE SHIELD INDEMNITY
042472266OtherHLTHCARE VALUE MANAGEMENT
4008126OtherAETNA/US HEALTHCARE
MA3055655Medicaid
9900283OtherFALLON COMM HEALTH PLAN
042472266OtherONE HEALTH PLAN
042472266OtherPRIVATE HLTHCARE SYSTEMS
2500245OtherEVERCARE
J09324OtherBLUE CARE ELECT
26822OtherCHILDREN MED SECURIT PLAN
5560410OtherCIGNA HEALTH PLAN
1060835OtherFIRST HEALTH
784042OtherMVP HEALTH CARE
AA2359OtherHARVARD PILGRIM HLTHCARE