Individual
JOSEPH A. WYLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1377 SOUTH COUNTY TRAIL, EAST GREENWICH, RI 02818
(401) 226-7590
(401) 886-7571
Mailing address
1377 SOUTH COUNTY TRAIL, EAST GREENWICH, RI 02818
(401) 226-7590
(401) 886-7571
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
DO00420
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9003694
—
RI
Enumeration date
07/18/2006
Last updated
11/17/2009
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