Active NPIIndividual providerSole proprietor

Dr. Jeremy B Jacox, MD, PHD

Internal Medicine, Hematology & Oncology in New Haven, Connecticut

NPI Number1811424070
Practice location
35 Park St, New Haven, CT 06519-1110
Fax
—
Last updated
February 28, 2024

Jeremy Bradley Jacox is an Internal Medicine, Hematology & Oncology 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 (CT). The current practice location address for Jeremy Bradley Jacox is 35 Park St, New Haven, CT 06519-1110 and can be reached out via phone at 203-407-8038.

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 06519-1110
Phone Number
203-407-8038
Primary Taxonomy
Internal Medicine, Hematology & Oncology · 207RH0003X
Sole Proprietor
Yes
Provider Enumeration Date
May 18, 2017
Last Update Date
February 28, 2024
Certification Date
February 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Park St
New Haven, CT 06519-1110
Zip
06519-1110
Phone Number
203-407-8038
New Haven, CT 06519Get directions →

Provider Business Mailing Address Details

Address
333 Cedar St
Www205
New Haven, CT 06510-3206
City
New Haven
State
CT
Zip
06510-3206
Phone Number
203-785-4095
Fax Number
203-785-4116

License Information

License Number (1)
1.076512
License State (1)
CT
Taxonomy (1)
Internal Medicine, Hematology & Oncology · 207RH0003X · Primary

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. Jeremy B Jacox, MD, PHD?

The NPI number of Dr. Jeremy B Jacox, MD, PHD is 1811424070. It was assigned on May 18, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeremy B Jacox, MD, PHD?

Dr. Jeremy B Jacox, MD, PHD is registered under the primary taxonomy Internal Medicine, Hematology & Oncology (code 207RH0003X), licensed in CT under license number 1.076512.

Where does Dr. Jeremy B Jacox, MD, PHD practice?

The practice location is 35 Park St, New Haven, CT 06519-1110. The office can be reached at 203-407-8038 (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 1811424070 directly on the NPPES registry website.

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