Dr. Jack Jacob, DO
Pathology, Anatomic Pathology & Clinical Pathology in Bridgeport, Connecticut
1649659590- Practice location
- 2800 Main St, Bridgeport, CT 06606-4201
- Phone
- 862-812-7831
- Fax
- —
- Last updated
- September 22, 2021
Jack Jacob is a Pathology, Anatomic Pathology & Clinical Pathology based in Bridgeport, CT. Jack Jacob practices in Bridgeport, CT and has the professional credentials of DO. The NPI Number for Jack Jacob is 1649659590 and holds a License No. 68885 (CT). The current practice location address for Jack Jacob is 2800 Main St, Bridgeport, CT 06606-4201 and can be reached out via phone at 862-812-7831.
Provider Profile Details
- NPI Number
- 1649659590
- Provider Name
- Jack Jacob
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2800 Main St, Bridgeport, CT 06606-4201
- Phone Number
- 862-812-7831
- Primary Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 26, 2015
- Last Update Date
- September 22, 2021
- Certification Date
- September 22, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2800 Main St
Bridgeport, CT 06606-4201 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06606-4201
- Phone Number
- 862-812-7831
Provider Business Mailing Address Details
- Address
- 2800 Main St
Bridgeport, CT 06606-4201 - City
- Bridgeport
- State
- CT
- Zip
- 06606-4201
- Phone Number
- 862-812-7831
License Information
- License Number
- 68885
- License State
- CT
- Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pathology, Anatomic Pathology & Clinical Pathology providers near Bridgeport, CT
View all Pathology, Anatomic Pathology & Clinical Pathology providers in Bridgeport →- Dr. Alexander Finkelstein, DOPathology, Anatomic Pathology & Clinical Pathology · NPI 1902083330
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Frequently Asked Questions
What is the NPI number of Dr. Jack Jacob, DO?
The NPI number of Dr. Jack Jacob, DO is 1649659590. It was assigned on May 26, 2015 and is currently active in the NPPES registry.
What is the specialty of Dr. Jack Jacob, DO?
Dr. Jack Jacob, DO is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in CT under license number 68885.
Where does Dr. Jack Jacob, DO practice?
The practice location is 2800 Main St, Bridgeport, CT 06606-4201. The office can be reached at 862-812-7831 (phone).
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 1649659590 directly on the NPPES registry website.