Individual
DR. STEVEN JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.C.
Contact information
Practice address
2 DEVINE STREET, SUITE # 1, NORTH HAVEN, CT 06473-2193
(203) 789-2272
(203) 865-8614
Mailing address
2 DEVINE STREET, SUITE # 1, NORTH HAVEN, CT 06473-2193
(203) 789-2272
(203) 865-8614
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
026166
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001261668
—
CT
01
—
060019531
MEDICARE RAILROAD PIN
CT
Enumeration date
08/11/2006
Last updated
02/27/2013
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