DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOB EDWARD PETERSON, MD, MBA

Active

DR. JACOB EDWARD PETERSON, MD, MBA is a Pulmonary Disease healthcare provider located in NORWICH, Connecticut. NPI 1295196384 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · NORWICH, CT

Registration Details

NPI Number
1295196384
Provider Type
Individual
Gender
Male
NPI Issued
Mar 16, 2016 (10.371881535003 yrs)
Last Updated
Feb 12, 2026
Licenses
76208 (CT)
0101263068 (VA)
0101263068 (VA)
0101263068 (VA)

Practice Information

Address
79 WAWECUS ST STE 103
NORWICH, CT, 063602173
Browse CT providers · Browse ZIP 06360
Phone
8608861862
Fax
8608862046
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Internal Medicine
Additional Specialty
Internal Medicine
Additional Specialty
Hospitalist
Additional Specialty
General Practice

Other Pulmonary Disease Providers in NORWICH, CT

Name Credential NPI
DONNA MARIE ROMITO DO 1134116353
STEVEN L POWELL MD 1356338560
THINESH DAHANAYAKE MD 1639293186
DR. JOSE ANGELO ARAULLO DE DIOS M.D. 1124227020
PRIYA BAKAYA MD 1265693931
ANKIT GUPTA 1023324555
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.