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THADDEUS JEFFREY DMOCHOWSKI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1736 RIDGE RD E, ROCHESTER, NY 14622-2157
(585) 266-8401
(585) 255-2029
Mailing address
125 LATTIMORE RD, SUITE 270, ROCHESTER, NY 14620-4159
(585) 442-2075
(585) 244-4298

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
123719
NY
208C00000X
Colon & Rectal Surgery Physician
123719
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00609036
NY
01
4471447
AETNA
NY
01
MD4891
PREFERRED CARE
NY
Enumeration date
03/28/2006
Last updated
09/11/2025
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