NPI 1487638409 · live from the CMS NPI Registry
Mark I Jacobs, MD
Internal Medicine, Cardiovascular Disease in Willimantic, CT. National Provider Identifier 1487638409, active.
NPI record
| NPI | 1487638409 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 5 Founders St Ste 102, Willimantic, CT 06226 |
| Practice phone | 860-456-2898 |
| Mailing address | Po Box 1147, Portsmouth, NH 03802 |
| Enumerated | December 2, 2005 |
| Last updated | August 1, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 9159 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.