JACK JACOB

BRIDGEPORT, CT
NPI1649659590
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CT  68885)
Enumeration Date2015-05-26
Last Update Date2021-09-22
Business Address
Dr. JACK JACOB D.O.
2800 MAIN ST
BRIDGEPORT, CT 06606-4201
Phone number: 862-812-7831
Mailing Address
Dr. JACK JACOB D.O.
2800 MAIN ST
BRIDGEPORT, CT 06606-4201
Phone number: 862-812-7831
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