Individual
DR. JOSE WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 TULANE AVE FL 4, NEW ORLEANS, LA 70112-2600
(504) 988-5263
Mailing address
1430 TULANE AVE # 8648, NEW ORLEANS, LA 70112-2632
(504) 988-1001
(504) 988-7795
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
250025
NY
207RI0011X
Interventional Cardiology Physician
10083
ND
207RI0011X
Interventional Cardiology Physician
Primary
MD.022996
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03064582
—
NY
01
—
P00259281
RAILROAD MEDICARE
ND
Enumeration date
09/22/2006
Last updated
10/13/2022
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