Provider Demographics
NPI:1154514586
Name:MOREY, JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:MOREY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 5TH ST SE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5491
Mailing Address - Country:US
Mailing Address - Phone:407-353-5794
Mailing Address - Fax:
Practice Address - Street 1:401 COMMERCE RD
Practice Address - Street 2:SUITE 413
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-4446
Practice Address - Country:US
Practice Address - Phone:540-886-0988
Practice Address - Fax:540-886-3833
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012537952085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology