MEDICARE: JULIA P JOSEPH-DI CAPRIO MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	37748	MN

General Provider Information

NPI Number	:	1164433454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA P JOSEPH-DI CAPRIO MD, MPH

Provider Business Mailing Address
First Line	:	1747 SUMMIT AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-1833
Country	:	US
Telephone Number	:	651-242-2849
Fax Number	:

Provider Business Practice Location Address
First Line	:	1747 SUMMIT AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-1833
Country	:	US
Telephone Number	:	651-242-2849
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	06/23/2022

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