Individual
JOAN C WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 HURFFVILLE CROSS KEYS RD, TURNERSVILLE, NJ 08012-2453
(856) 513-4124
(856) 302-5932
Mailing address
151 FRIES MILL RD, SUITE 301, TURNERSVILLE, NJ 08012-2016
(856) 513-4224
(856) 302-5932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB08843200
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MB08843200
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MB08843200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404977
—
NJ
Enumeration date
12/01/2008
Last updated
01/12/2017
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