Organization
REPRODUCTIVE ENDOCRINOLOGY INFERTILITY GP OF UNIV OF ROCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M HETTERICH (SENIOR DIRECTOR OF FINACE URMFG)
(585) 756-4003
Entity
Organization
Contact information
Practice address
500 RED CREEK DRIVE, SUITE 220, ROCHESTER, NY 14623-4276
(585) 487-3378
(585) 334-8164
Mailing address
601 ELMWOOD AVENUE BOX 668, ROCHESTER, NY 14642-0001
(585) 275-5241
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0189048590
BLUE CHOICE
NY
Enumeration date
07/06/2006
Last updated
08/21/2019
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