Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK JACOB, D.O.
Active Sole ProprietorAnatomic Pathology & Clinical Pathology · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1649659590
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2015 (10.914078518106 yrs)
- Last Updated
- Sep 22, 2021
- License
-
68885 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2800 MAIN STBRIDGEPORT, CT, 066064201Browse CT providers · Browse ZIP 06606
- Phone
- 8628127831
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
Other Anatomic Pathology & Clinical Pathology Providers in BRIDGEPORT, CT
| Name | Credential | NPI |
|---|---|---|
| MARGUERITE M PINTO | MD | 1669454914 |
| YOUNG CHOI KIM | MD | 1245212596 |
| LIMING HAO | MD | 1891776183 |
| DR. GEORGE MICHAEL GOLENWSKY | M.D. | 1295797553 |
| EUGENE H LEWIS III | D.O. | 1609830470 |
| DR. CHRISTINE MARIANNE MINEROWICZ | M.D. | 1154440139 |
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.