Organization
OB PERINATOLOGY GROUP UNIV OF ROCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE URMFG)
(585) 756-4003
Entity
Organization
Contact information
Practice address
601 ELMWOOD AVE, BOX 668, ROCHESTER, NY 14642-0001
(585) 275-7480
(585) 256-1416
Mailing address
601 ELMWOOD AVE, BOX 668, ROCHESTER, NY 14642-0001
(585) 275-7480
(585) 256-1416
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01094751
—
NY
Enumeration date
06/16/2006
Last updated
03/09/2018
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