Individual
DR. MARK JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3202
(203) 737-2090
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 737-2090
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
1.081145
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2016
Last updated
05/30/2025
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