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Organization
ENDOCRINE PRACTICE GROUP
Active
Organization
ENDOCRINE PRACTICE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE, URMFG)
(585) 756-4003
Entity
Organization
Contact information
Practice address
601 ELMWOOD AVE, BOX 693, ROCHESTER, NY 14642-0001
(585) 275-2901
(585) 273-1288
Mailing address
601 ELMWOOD AVE BOX 278911, ROCHESTER, NY 14642-0001
(585) 756-4011
(585) 784-8367
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0189014590
BLCH
NY
05
—
G458104
—
NY
Enumeration date
05/08/2006
Last updated
01/10/2018
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