Organization
TRAUMA BURN EMERGENCY SURGERY OF THE UNIVERSITY OF ROCHESTER
Active
Organization
TRAUMA BURN EMERGENCY 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) 275-3376
(585) 276-1992
Mailing address
601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642-0001
(585) 275-1984
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
202047085
NY
2086S0102X
Surgical Critical Care Physician
—
NY
2086S0127X
Trauma Surgery Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03134470
—
NY
Enumeration date
08/17/2007
Last updated
08/22/2019
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