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Organization

PAIN TREATMENT CENTER

Active
Parent organization
UNIVERSITY OF ROCHESTER ANESTHESIOLOGY GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF ROCHESTER ANESTHESIOLOGY GROUP
Authorized official
JILL M HETTERICH (SENIOR DIRECTOR OF FINANCE URMFG)
(585) 756-4003
Entity
Organization

Contact information

Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Mailing address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0037225
NY
01
0189393591
BLUE CHOICE
NY
01
2222
BLUE SHIELD
NY
Enumeration date
12/11/2007
Last updated
08/22/2019
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