Dr. Edward H Jaccoma, MD
Ophthalmology in Waterbury, Connecticut
1982681367- Practice location
- 87 Grandview Ave Ste A, Waterbury, CT 06708-2523
- Phone
- 203-574-2020
- Fax
- 203-596-2230
- Last updated
- September 14, 2018
Edward H. Jaccoma is an Ophthalmology based in Waterbury, CT. Edward H. Jaccoma practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Edward H. Jaccoma is 1982681367 and holds a License No. 56003 (CT). The current practice location address for Edward H. Jaccoma is 87 Grandview Ave Ste A, Waterbury, CT 06708-2523 and can be reached out via phone at 203-574-2020 and via fax at 203-596-2230.
Provider Profile Details
- NPI Number
- 1982681367
- Provider Name
- Edward H. Jaccoma
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 87 Grandview Ave Ste A, Waterbury, CT 06708-2523
- Phone Number
- 203-574-2020
- Fax Number
- 203-596-2230
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 28, 2005
- Last Update Date
- September 14, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 87 Grandview Ave Ste A
Waterbury, CT 06708-2523 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2523
- Phone Number
- 203-574-2020
- Fax Number
- 203-596-2230
Provider Business Mailing Address Details
- Address
- 87 Grandview Ave Ste A
Waterbury, CT 06708-2523 - City
- Waterbury
- State
- CT
- Zip
- 06708-2523
- Phone Number
- 203-574-2020
- Fax Number
- 203-596-2230
License Information
- License Number (1)
- 56003
- License State (1)
- CT
- Taxonomy (1)
- Ophthalmology · 207W00000X
- License Number (2)
- 011998
- License State (2)
- ME
- Taxonomy (2)
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Edward H Jaccoma, MD?
The NPI number of Dr. Edward H Jaccoma, MD is 1982681367. It was assigned on December 28, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Edward H Jaccoma, MD?
Dr. Edward H Jaccoma, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in CT under license number 56003.
Where does Dr. Edward H Jaccoma, MD practice?
The practice location is 87 Grandview Ave Ste A, Waterbury, CT 06708-2523. The office can be reached at 203-574-2020 (phone) or 203-596-2230 (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 1982681367 directly on the NPPES registry website.