Lawrence M. Jacoby, M.D., Pc in Avon - Specialist
Lawrence M. Jacoby, M.D., Pc - NPI 1942405246
Lawrence M. Jacoby, M.D., Pc is a Specialist in Avon, Connecticut. Lawrence M. Jacoby, M.D., Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lawrence M. Jacoby, M.D., Pc is 1942405246. The last update date is 2020-08-22.
Lawrence M. Jacoby, M.D., Pc's current location address is 18 W Avon Rd, Avon, Connecticut. You can contact this provider via phone number 8606731667 and fax number 8606731544. The mailing address for Lawrence M. Jacoby, M.D., Pc is 18 W Avon Rd, Avon, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lawrence M. Jacoby, M.D., Pc |
|---|---|
| Address | 18 W Avon Rd, Avon, Connecticut |
| Phone Number | 8606731667 |
| Fax Number | 8606731544 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Jacoby Jodie |
| Telephone Number | 8606731667 |
NPI Number Detail
| NPI Number | 1942405246 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 18 W Avon Rd |
|---|---|
| City | Avon |
| State | Connecticut (CT) |
| Post Code | 60013583 |
| Phone Number | 8606731667 |
| Fax Number | 8606731544 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 16756 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 010016756CT01 | CT | BCBS ANTHEM CONNECTICUT | |
| 18000 | CT | CONNECTICARE PA | |
| 731541 | CT | PHCS | |
| P1595383 | CT | OXFORD | |
| 290000178CT01 | DE | BCBS ANTHEM CT -- PA | |
| 44259 | CT | AETNA | |
| 701896 | CT | CONNECTICARE DR. |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lawrence M. Jacoby, M.D., Pc by the Centers for Medicare & Medicaid Services?
The Lawrence M. Jacoby, M.D., Pc has been issued the NPI (National Provider Identifier) 1942405246, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lawrence M. Jacoby, M.D., Pc's facilities are geographically located?
The facilities of Lawrence M. Jacoby, M.D., Pc are physically situated at the following location: 18 W Avon Rd, Avon, CT, 60013583.
What is Lawrence M. Jacoby, M.D., Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lawrence M. Jacoby, M.D., Pc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942405246 to Lawrence M. Jacoby, M.D., Pc?
The Centers for Medicare & Medicaid Services originally issued the 1942405246 to Lawrence M. Jacoby, M.D., Pc on 2007-06-18.
As of what date were the details related to Lawrence M. Jacoby, M.D., Pc most recently updated or revised?
The information pertaining to Lawrence M. Jacoby, M.D., Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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