Provider Demographics
NPI:1558326082
Name:BHARUCHA, JEROO K (MD)
Entity Type:Individual
Prefix:
First Name:JEROO
Middle Name:K
Last Name:BHARUCHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3101 RIDGE RD W
Mailing Address - Street 2:BUILDING D
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3249
Mailing Address - Country:US
Mailing Address - Phone:585-225-1580
Mailing Address - Fax:585-225-2040
Practice Address - Street 1:3101 RIDGE RD W
Practice Address - Street 2:BUILDING D
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-3249
Practice Address - Country:US
Practice Address - Phone:585-225-1580
Practice Address - Fax:585-225-2040
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2012-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY142795207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY34878FMedicare PIN