Individual
JOSEPH P NEGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
2450 RIVERSIDE AVE, JOURNEY CLINIC, MINNEAPOLIS, MN 55454-1450
(612) 365-8100
(612) 365-8101
Mailing address
2450 RIVERSIDE AVE, MB665, 8952A, MINNEAPOLIS, MN 55454-1450
(612) 626-3113
(612) 626-6601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
30219
MN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
30219
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046920
—
MT
01
—
100986
UCARE
—
01
—
1010360
PREFERRED ONE
—
01
—
2T301NE
BCBS
MN
01
—
36-00263
MEDICA PRIMARY
—
01
—
36-21104
MEDICA CHOICE
—
05
—
494385600
—
MN
01
—
572379
ARAZ
—
01
—
C002
CHAMPUS
—
01
—
CHAMPUS/TRICARE
B359
—
01
—
HP14032
HEALTPARTNERS
—
Enumeration date
06/21/2006
Last updated
05/23/2013
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