National Provider Identifier

Jerry Joseph Svoboda, MD

Jerry Joseph Svoboda, MD is listed in the NPPES registry with a primary specialty of Vascular Surgery Physician in Rochester, NY and a listed phone number of (585) 723-7060.

NPI 1295837227Rochester, NYVascular Surgery Physician

Profile Overview

NPI
1295837227
Provider Type
Individual
Primary Specialty
Vascular Surgery Physician
Enumeration Date
September 01, 2006
Last Updated
December 30, 2014

Practice Location

  • 2655 Ridgeway Ave
  • Suite 240
  • Rochester, NY 14626-4296

Phone: (585) 723-7060

Specialties

  • Vascular Surgery Physician (2086S0129X)
Full Record
NPI
1295837227
Entity Type
Individual
Last Name
Svoboda
First Name
Jerry
Middle Name
Joseph
Credential
MD
Mailing Street Address
2655 Ridgeway Ave
Mailing Address Line 2
Suite 240
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-4296
Mailing Country
US
Mailing Phone
(585) 723-7060
Mailing Fax
(585) 723-7325
Practice Street Address
2655 Ridgeway Ave
Practice Address Line 2
Suite 240
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4296
Practice Country
US
Practice Phone
(585) 723-7060
Practice Fax
(585) 723-7325
Enumeration Date
September 01, 2006
Last Updated
December 30, 2014
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Vascular Surgery Physician (2086S0129X)
Other Identifiers
00833505 (NY)