Organization
WEST HAVEN PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOBEY JACOB (OWNER/PEDIATRICIAN)
(203) 932-3227
Entity
Organization
Contact information
Practice address
367 ELM ST, 2ND FLOOR, WEST HAVEN, CT 06516-4217
(203) 932-3227
Mailing address
367 ELM ST, 2ND FLOOR, WEST HAVEN, CT 06516-4217
(203) 932-3227
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
049082
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008035471
—
CT
05
—
008061680
—
CT
Enumeration date
03/29/2017
Last updated
03/29/2017
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