Individual
JACOB HEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5520 PARK AVE, NEMG, TRUMBULL, CT 06611-3463
(203) 337-8600
(203) 372-0109
Mailing address
5520 PARK AVE, TRUMBULL, CT 06611
(203) 337-8600
(203) 372-0109
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
020710
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001207100
—
CT
Enumeration date
03/16/2006
Last updated
12/08/2014
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