Organization
INFECTIOUS DISEASE CLINICAL
Active
Organization
INFECTIOUS DISEASE CLINICAL
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, BOX 689, ROCHESTER, NY 14642-0001
(585) 275-5871
Mailing address
601 ELMWOOD AVE BOX MED, ROCHESTER, NY 14642-0001
(585) 275-0526
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
08/24/2022
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