National Provider Identifier
Mark Gonzalez Ettel, M.D.
Mark Gonzalez Ettel, M.D. is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician in Rochester, NY and a listed phone number of (585) 275-3191.
Profile Overview
- NPI
- 1649614520
- Provider Type
- Individual
- Primary Specialty
- Anatomic Pathology & Clinical Pathology Physician
- Enumeration Date
- April 23, 2013
- Last Updated
- June 30, 2023
Practice Location
- 601 Elmwood Avenue
- University Of Rochester Medical Center,
- Rochester, NY 14642-0001
Phone: (585) 275-3191
Mailing Address
- 601 Elmwood Avenue, Box 626
- Urmc
- Rochester, NY 14642-0001
Specialties
- Anatomic Pathology & Clinical Pathology Physician (207ZP0102X)
- Anatomic Pathology Physician (207ZP0101X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Endpoints
- mettel137670@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1649614520
- Entity Type
- Individual
- Last Name
- Ettel
- First Name
- Mark
- Middle Name
- Gonzalez
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Avenue, Box 626
- Mailing Address Line 2
- Urmc
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-3191
- Mailing Fax
- (585) 273-3637
- Practice Street Address
- 601 Elmwood Avenue
- Practice Address Line 2
- University Of Rochester Medical Center,
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-3191
- Practice Fax
- (585) 273-3637
- Enumeration Date
- April 23, 2013
- Last Updated
- June 30, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), Anatomic Pathology Physician (207ZP0101X), Student in an Organized Health Care Education/Training Program (390200000X)