# HENRY ELI JACOBS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356350789
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 017368 | CT | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 12/31/2020

## 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 |