Provider Demographics
NPI:1831160902
Name:PAQUETTE, JOSEPH D (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:D
Last Name:PAQUETTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1460
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22402-1460
Mailing Address - Country:US
Mailing Address - Phone:540-786-2100
Mailing Address - Fax:540-786-0677
Practice Address - Street 1:300 PARK HILL DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3387
Practice Address - Country:US
Practice Address - Phone:540-361-7641
Practice Address - Fax:540-361-1246
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101033516207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA82930OtherMAMSI HMO
VA4091710OtherAETNA NON HMO
VA0897762OtherAETNA HMO
VACA9037OtherMCR RAILROAD GROUP
VA00090766OtherAETNA CAP
VA285290OtherANTHEM
VA005620341Medicaid
VA22930OtherMAMSI PPO
VA0101033516OtherLICENSE
VACO2375OtherMEDICARE GROUP
VA0897762OtherAETNA HMO
VA22930OtherMAMSI PPO
VA4091710OtherAETNA NON HMO