Dr. Edward Jacobson, MD
Specialist in Greenwich, Connecticut
1336208651- Practice location
- 1 Perryridge RD, Greenwich, CT 06830-4607
- Phone
- 203-869-8353
- Fax
- 203-869-4004
- Last updated
- July 9, 2007
Edward Jacobson is a Specialist based in Greenwich, CT. Edward Jacobson practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Edward Jacobson is 1336208651 and holds a License No. 22707 (CT). The current practice location address for Edward Jacobson is 1 Perryridge RD, Greenwich, CT 06830-4607 and can be reached out via phone at 203-869-8353 and via fax at 203-869-4004.
Provider Profile Details
- NPI Number
- 1336208651
- Provider Name
- Edward Jacobson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Perryridge RD, Greenwich, CT 06830-4607
- Phone Number
- 203-869-8353
- Fax Number
- 203-869-4004
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 6, 2006
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Perryridge RD
Greenwich, CT 06830-4607 - City
- Greenwich
- State
- Connecticut
- Zip
- 06830-4607
- Phone Number
- 203-869-8353
- Fax Number
- 203-869-4004
Provider Business Mailing Address Details
- Address
- 1 Perryridge RD
Greenwich, CT 06830-4607 - City
- Greenwich
- State
- CT
- Zip
- 06830-4607
- Phone Number
- 203-869-8353
- Fax Number
- 203-869-4004
License Information
- License Number
- 22707
- License State
- CT
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Edward Jacobson, MD?
The NPI number of Dr. Edward Jacobson, MD is 1336208651. It was assigned on December 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Edward Jacobson, MD?
Dr. Edward Jacobson, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in CT under license number 22707.
Where does Dr. Edward Jacobson, MD practice?
The practice location is 1 Perryridge RD, Greenwich, CT 06830-4607. The office can be reached at 203-869-8353 (phone) or 203-869-4004 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336208651 directly on the NPPES registry website.