Provider Demographics
NPI:1386649176
Name:NEGREY, JOHN N JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:N
Last Name:NEGREY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:56 W EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-1447
Mailing Address - Country:US
Mailing Address - Phone:610-449-4336
Mailing Address - Fax:610-446-1735
Practice Address - Street 1:56 W EAGLE RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-1447
Practice Address - Country:US
Practice Address - Phone:610-449-4336
Practice Address - Fax:610-446-1735
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD011003E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA181932124OtherRAILROAD MEDICARE
PA232075896OtherTAX ID
PA181932124OtherRAILROAD MEDICARE
PAC29985Medicare UPIN
PA101486K3SMedicare PIN