Organization
CENTRAL CONNECTICUT PATHOLOGY CONSULTANTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY JACOBS M.D. (PRESIDENT)
(860) 224-5584
Entity
Organization
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5584
(860) 224-5946
Mailing address
PO BOX 1730, NEW HAVEN, CT 06507-1730
(203) 397-8000
(203) 389-1540
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
14325
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004199057P1
BLUE CARE GRP # NB
CT
01
—
004199057P2
BLUE CARE GRP # BRADLEY
CT
01
—
0V6399
HEALTHNET GRP#
CT
01
—
1104295
UNITED HEALTHCARE GRP#
CT
01
—
2215846
AETNA/USHC GRP#
CT
05
—
4199057
—
CT
01
—
500HBL433CT01
BC/CS NB GRP#
CT
01
—
500HBL433CT02
BC/BS BRADLEY GRP#
CT
01
—
5154614
CIGNA GRP#
CT
01
—
615577
CONNECTICARE GRP#
CT
Enumeration date
05/02/2006
Last updated
08/22/2020
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