Provider Demographics
NPI:1164433454
Name:JOSEPH-DI CAPRIO, JULIA P (MD, MPH)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:P
Last Name:JOSEPH-DI CAPRIO
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1747 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-1833
Mailing Address - Country:US
Mailing Address - Phone:651-242-2849
Mailing Address - Fax:
Practice Address - Street 1:1747 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1833
Practice Address - Country:US
Practice Address - Phone:651-242-2849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN37748208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
G36465Medicare UPIN