Individual
GARETH JAMES WYATT WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-1009
(585) 275-2486
Mailing address
601 ELMWOOD AVE BOX 656, ROCHESTER, NY 14642-1009
(585) 275-2838
(319) 356-3900
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
276114
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2009
Last updated
05/05/2023
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