Individual
DR. JACOB EDWARD PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
79 WAWECUS ST STE 103, NORWICH, CT 06360-2173
(860) 886-1862
(860) 886-2046
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101263068
VA
207R00000X
Internal Medicine Physician
76208
CT
207RP1001X
Pulmonary Disease Physician
Primary
76208
CT
208D00000X
General Practice Physician
0101263068
VA
208M00000X
Hospitalist Physician
0101263068
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2016
Last updated
02/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us