# THORACIC FOREGUT SURGERY OF THE UNIVERSITY OF ROCHESTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649598558
- **Authorized official:** JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE URMFG)
- **Authorized official phone:** (585) 756-4008

## Contact information

- **Practice address:** 601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
- **Practice address phone:** (585) 275-1509
- **Mailing address:** 601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642-8410
- **Mailing address phone:** (585) 275-1984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2010
- **Last updated:** 08/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03252848 | — | NY |