Active NPIIndividual provider

Dr. Michael A Jacobson, MD

Dermatology in Stamford, Connecticut

NPI Number1649352964
Practice location
1051 Long Ridge RD, Stamford, CT 06903-4436
Fax
203-329-7920
Last updated
January 18, 2017

Michael A Jacobson is a Dermatology based in Stamford, CT. Michael A Jacobson practices in Stamford, CT and has the professional credentials of MD. The NPI Number for Michael A Jacobson is 1649352964 and holds a License No. LL27743 (SC). The current practice location address for Michael A Jacobson is 1051 Long Ridge RD, Stamford, CT 06903-4436 and can be reached out via phone at 203-329-7960 and via fax at 203-329-7920.

Provider Profile Details

NPI Number
1649352964
Provider Name
Michael A Jacobson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1051 Long Ridge RD, Stamford, CT 06903-4436
Phone Number
203-329-7960
Fax Number
203-329-7920
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
October 19, 2006
Last Update Date
January 18, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1051 Long Ridge RD
Stamford, CT 06903-4436
Zip
06903-4436
Phone Number
203-329-7960
Fax Number
203-329-7920
Stamford, CT 06903Get directions →

Provider Business Mailing Address Details

Address
1051 Long Ridge RD
Stamford, CT 06903-4436
City
Stamford
State
CT
Zip
06903-4436
Phone Number
203-329-7960
Fax Number
203-329-7920

License Information

License Number (1)
LL27743
License State (1)
SC
Taxonomy (1)
Dermatology · 207N00000X
License Number (2)
MD434064
License State (2)
PA
Taxonomy (2)
Dermatology · 207N00000X · Primary
License Number (3)
047462
License State (3)
CT
Taxonomy (3)
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
License Number (4)
260244-1
License State (4)
NY
Taxonomy (4)
Dermatology, MOHS-Micrographic Surgery · 207ND0101X

Legacy Identifiers

IdentifierTypeStateIssuer
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. Michael A Jacobson, MD?

The NPI number of Dr. Michael A Jacobson, MD is 1649352964. It was assigned on October 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael A Jacobson, MD?

Dr. Michael A Jacobson, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in SC under license number LL27743.

Where does Dr. Michael A Jacobson, MD practice?

The practice location is 1051 Long Ridge RD, Stamford, CT 06903-4436. The office can be reached at 203-329-7960 (phone) or 203-329-7920 (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 1649352964 directly on the NPPES registry website.

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