Individual
JACOB ROBERT CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 974-5805
Mailing address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 974-5805
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
125075908
IL
2084P0800X
Psychiatry Physician
Primary
77361
CT
Other
Enumeration date
06/23/2020
Last updated
07/05/2024
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