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Search › Connecticut › 207ZP0102X

Jack Jacob, D.O

NPI 1649659590 · on the registry since 2015 · sole proprietor

Practice

Address
2800 Main St
Bridgeport, CT 06606
Phone
(862) 812-7831
Organisation at this address
Svmc Holdings, Inc
Svmc Holdings, Inc
Svmc Holdings, Inc
Svmc Holdings, Inc
Saint Vincent Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
461

Registry record

Primary taxonomy
207ZP0102X
207ZP0102X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut