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Organization

VASCULAR SURGERY OF THE UNIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL M HETTERICH (SR. DIRECTOR OF FINANCE - URMFG)
(585) 756-4008
Entity
Organization

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 758-7743
(585) 756-7750
Mailing address
601 ELMWOOD AVENUE BOX SURG, ROCHESTER, NY 14642-8410
(585) 275-1984
(585) 756-7750

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02676933
NY
Enumeration date
07/22/2006
Last updated
08/11/2022
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