EDWARD HENRY TILEY M.D. NPI 1063510956

NPI Information

Edward Henry Tiley, M.D. is a vascular surgery surgery in Charleston, WV. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Edward Henry Tiley, M.D. NPI is 1063510956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9 COURTNEY DR
CHARLESTON, WV
ZIP 25304-699
Phone: (304) 925-3115
Fax: (304) 925-2088

The NPI 1063510956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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