Organization
UNIVERSITY CARDIOTHORACIC SURGERY 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 SURG, ROCHESTER, NY 14642-0001
(585) 275-5384
(585) 244-7171
Mailing address
601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642-0001
(585) 275-6340
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01389784
—
NY
Enumeration date
07/22/2006
Last updated
07/21/2022
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