Organization
PJACOBY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JACOBY MD (SOLE MEMBER)
(203) 709-6079
Entity
Organization
Contact information
Practice address
167 SPRAIN BROOK RD, WOODBURY, CT 06798-1914
(203) 709-6079
Mailing address
167 SPRAIN BROOK RD, WOODBURY, CT 06798-1914
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0198781
CT
Other
Enumeration date
12/07/2012
Last updated
04/21/2015
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