Individual
DR. JOSEPH M WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W BELVEDERE AVE, DEPT OF PEDIATRICS, BALTIMORE, MD 21215-5216
(410) 601-5303
(410) 601-8766
Mailing address
2401 W BELVEDERE AVE, ATTN: CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D32436
MD
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
D32436
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7987380
—
MD
01
—
CC3778
R/R MEDICARE GROUP #
MD
Enumeration date
06/14/2006
Last updated
11/29/2007
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