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Contact Information

JEREMY B JACOX, MD, PHD
35 PARK ST
NEW HAVEN, CT06519-1110
 Phone: 203-407-8038
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JEREMY B JACOX · (Male)

NPI Number 1811424070
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 05/18/2017
Last updated 02/28/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 1.076512
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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