Individual
DR. MICHAEL F ROTONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-7248
(585) 276-1992
Mailing address
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642-0001
(585) 275-7248
(585) 276-1992
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
270454
NY
2086S0127X
Trauma Surgery Physician
Primary
270454
NY
2086S0127X
Trauma Surgery Physician
9901013
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1232A
BCBS NC
NC
01
—
20043809
RAILROAD MEDICARE
NC
05
—
891232A
—
NC
Enumeration date
10/10/2005
Last updated
07/25/2013
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