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Individual
HENRY ELI JACOBS
Active
Individual
HENRY ELI JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
017368
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001173681
—
CT
01
—
0029111
AETNA US HEALTHCARE
CT
01
—
010017368CT01
BLUE SHIELD
CT
01
—
01017368
CIGNA
CT
01
—
030810
CONNECTICARE
CT
01
—
052270
HEALTH NET
CT
01
—
HAP255
OXFORD
CT
Enumeration date
08/05/2006
Last updated
12/31/2020
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