Organization
M. GORDON WHITBECK, JR. MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER J KERN (OFFICE MANAGER)
(585) 342-2410
Entity
Organization
Contact information
Practice address
2619 CULVER ROAD, ST. 2A, ROCHESTER, NY 14609
(585) 342-2410
(585) 342-9141
Mailing address
2619 CULVER ROAD, SUITE 2A, ROCHESTER, NY 14609
(585) 342-2410
(585) 342-9141
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
167261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01422691
—
NY
Enumeration date
01/26/2007
Last updated
06/27/2012
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