Individual
TIMOTHY D RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1555 LONG POND RD, EMERGENCY CENTER, ROCHESTER, NY 14626-4122
(585) 723-7075
(585) 723-7083
Mailing address
1555 LONG POND RD, EMERGENCY CENTER, ROCHESTER, NY 14626-4122
(585) 723-7075
(585) 723-7083
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
216782
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02271314
—
NY
Enumeration date
11/07/2006
Last updated
03/30/2015
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