Active NPIIndividual providerSole proprietor

Dennis P Jacob, MD

Hospitalist in Hartford, Connecticut

NPI Number1831750454
Practice location
114 Woodland St, Hartford, CT 06105-1208
Fax
734-793-2471
Last updated
June 1, 2022

Dennis Peter Jacob is a Hospitalist based in Hartford, CT. Dennis Peter Jacob practices in Hartford, CT and has the professional credentials of MD. The NPI Number for Dennis Peter Jacob is 1831750454 and holds a License No. 70093 (CT). The current practice location address for Dennis Peter Jacob is 114 Woodland St, Hartford, CT 06105-1208 and can be reached out via phone at 860-714-5484 and via fax at 734-793-2471.

Provider Profile Details

NPI Number
1831750454
Provider Name
Dennis Peter Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
114 Woodland St, Hartford, CT 06105-1208
Phone Number
860-714-5484
Fax Number
734-793-2471
Primary Taxonomy
Hospitalist · 208M00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 25, 2019
Last Update Date
June 1, 2022
Certification Date
May 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Woodland St
Hartford, CT 06105-1208
Zip
06105-1208
Phone Number
860-714-5484
Fax Number
734-793-2471
Hartford, CT 06105Get directions →

Provider Business Mailing Address Details

Address
Adminstration -Suite 4309B
1000 Asylum Avenue
Hartford, CT 06105
City
Hartford
State
CT
Zip
06105
Phone Number
860-714-5484
Fax Number
734-793-2471

License Information

License Number (2)
70093
License State (2)
CT
Taxonomy (2)
Hospitalist · 208M00000X · 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 Dennis P Jacob, MD?

The NPI number of Dennis P Jacob, MD is 1831750454. It was assigned on June 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Dennis P Jacob, MD?

Dennis P Jacob, MD is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in CT under license number 70093.

Where does Dennis P Jacob, MD practice?

The practice location is 114 Woodland St, Hartford, CT 06105-1208. The office can be reached at 860-714-5484 (phone) or 734-793-2471 (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 1831750454 directly on the NPPES registry website.

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