Provider Demographics
NPI:1992799183
Name:ORDONEZ, JOSEPH PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:PATRICK
Last Name:ORDONEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890
Mailing Address - Country:US
Mailing Address - Phone:781-756-7273
Mailing Address - Fax:781-721-0725
Practice Address - Street 1:203 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864
Practice Address - Country:US
Practice Address - Phone:978-664-1990
Practice Address - Fax:978-664-5028
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY222700207Q00000X
MA230218207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30206350OtherNH MEDICAID
MA962223OtherNETWORK HEALTH
MAAA74389OtherHARVARD PILGRIM HEALTHCAR
1992799183OtherNPI
MAJ40944OtherBLUE CROSS BLUE SHIELD
MA466751OtherTUFTS HEALTH PLAN
MA2130297Medicaid
NHH76631OtherANTHEM BLUE CROSS
NH30206350OtherNH MEDICAID
H76631Medicare UPIN
MA2130297Medicaid
A4059201Medicare PIN
NYH77631Medicare UPIN