Individual
RALF THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 RED CREEK DR, SUITE 240, ROCHESTER, NY 14623-4273
(585) 486-0901
(585) 340-5399
Mailing address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 275-6275
(585) 276-2140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07649400
NJ
207RR0500X
Rheumatology Physician
241557
NY
207RR0500X
Rheumatology Physician
Primary
25MA07649400
NJ
Other
Enumeration date
08/11/2006
Last updated
07/05/2023
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