Organization
ALLERGY - IMMUNOLOGY - RHEUMATOLOGY CLINICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE, URMFG)
(585) 756-4008
Entity
Organization
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2891
Mailing address
601 ELMWOOD AVE BOX MED, ROCHESTER, NY 14642-0001
(585) 275-7912
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
05/28/2006
Last updated
08/11/2022
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