Organization
PEDIATRIC CARDIAC SURGERY OF THE UNIVERSITY 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, ROCHESTER, NY 14642-0001
(585) 758-7671
Mailing address
601 ELMWOOD AVE, BOX 320, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03075894
—
NY
Enumeration date
10/01/2008
Last updated
03/09/2018
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