National Provider Identifier

Jack Connor Huffman, MD

Jack Connor Huffman, MD is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Rochester, NY and a listed phone number of (585) 275-1384.

NPI 1154987592Rochester, NYAnesthesiology Physician

Profile Overview

NPI
1154987592
Provider Type
Individual
Primary Specialty
Anesthesiology Physician
Enumeration Date
May 10, 2019
Last Updated
April 05, 2023

Practice Location

  • 601 Elmwood Ave # 604
  • Rochester, NY 14642-0001

Phone: (585) 275-1384

Mailing Address

  • 202 S Park St
  • Madison, WI 53715-1507

Specialties

  • Anesthesiology Physician (207L00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1154987592
Entity Type
Individual
Last Name
Huffman
First Name
Jack
Middle Name
Connor
Name Prefix
Dr.
Credential
MD
Mailing Street Address
202 S Park St
Mailing City
Madison
Mailing State
WI
Mailing ZIP Code
53715-1507
Mailing Country
US
Practice Street Address
601 Elmwood Ave # 604
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-1384
Enumeration Date
May 10, 2019
Last Updated
April 05, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
April 05, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Anesthesiology Physician (207L00000X), Student in an Organized Health Care Education/Training Program (390200000X)