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Organization
UNIVERSITY OF ROCHESTER PEDIATRIC OTOLARYNGOLOGY ASSOCIATES
Active
Organization
UNIVERSITY OF ROCHESTER PEDIATRIC OTOLARYNGOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M HETTERICH (SENIOR DIRECTOR, FINANCE URMFG)
(585) 756-4003
Entity
Organization
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 758-7671
Mailing address
601 ELMWOOD AVE BOX 635, ROCHESTER, NY 14642-0001
(585) 758-5700
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03085283
—
NY
Enumeration date
09/11/2008
Last updated
08/22/2019
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