Organization
WEST HAVEN PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOBEY JACOB MD (OWNER)
(203) 932-3227
Entity
Organization
Contact information
Practice address
367 ELM ST, WEST HAVEN, CT 06516-4217
(203) 932-3227
(203) 931-2848
Mailing address
367 ELM ST, WEST HAVEN, CT 06516-4217
(203) 932-3227
(203) 931-2848
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
09/14/2015
Last updated
12/24/2015
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