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Individual

DR. ALLAN MICHAEL JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
61 S MAIN ST, SUITE 305, WEST HARTFORD, CT 06107-2486
(860) 561-1640
Mailing address
61 S MAIN ST, SUITE 305, WEST HARTFORD, CT 06107-2486
(860) 561-1640

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
027910
CT
2084P0802X
Addiction Psychiatry Physician
027910
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
027910
CT

Other

Enumeration date
03/22/2007
Last updated
09/11/2025
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