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Dr. Jeremy Bradley Jacox, MD,PHD
Student in an Organized Health Care Education/Training Program in New Haven, Connecticut
NPI 1811424070

Jeremy Bradley Jacox is a Student in an Organized Health Care Education/Training Program based in New Haven, CT. Jeremy Bradley Jacox practices in New Haven, CT and has the professional credentials of MD,PHD. The NPI Number for Jeremy Bradley Jacox is 1811424070 and holds a License No. 1.076512 (Connecticut).

The current practice location address for Jeremy Bradley Jacox is 35 Park St, New Haven, CT and can be reached out via phone at 203-407-8038.

Location: 35 Park St, New Haven, CT, 06510-3206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811424070
Provider Name
Jeremy Bradley Jacox
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
35 Park St, New Haven, CT, 06510-3206
Phone Number
203-407-8038
Fax Number
Provider Enumeration Date
05/18/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
35 Park St
City
New Haven
State
Connecticut
Zip
06519-1110
Phone Number
203-407-8038
Fax Number
person
Provider Business Mailing Address Details
Address
35 Park St
City
New Haven
State
Connecticut
Zip
06519-1110
Phone Number
203-407-8038
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1.076512 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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