Individual
MS. CYNTHIA B WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PA C
Contact information
Practice address
10 N GREENE ST, VETERANS AFFAIRS MEDICAL CENTER, BALT, MD 21201
(410) 605-7428
(410) 605-7724
Mailing address
4920 BOWLAND AVE, BALTIMORE, MD 21206
(410) 488-6032
(410) 605-7724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000114
MD
Other
Enumeration date
04/19/2006
Last updated
10/23/2007
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