Individual
DR. LENWORTH M. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL TRAUMA PROGRAM, HARTFORD, CT 06102
(860) 545-3112
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
024864
CT
Other
Enumeration date
08/16/2006
Last updated
02/25/2008
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