MEDICARE: HENRY ELI JACOBS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	017368	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	01017368	OTHER	CT	CIGNA
3	0029111	OTHER	CT	AETNA US HEALTHCARE
4	052270	OTHER	CT	HEALTH NET
5	HAP255	OTHER	CT	OXFORD
6	010017368CT01	OTHER	CT	BLUE SHIELD
7	030810	OTHER	CT	CONNECTICARE

General Provider Information

NPI Number	:	1356350789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY ELI JACOBS MD

Provider Business Mailing Address
First Line	:	1 NORTHWESTERN DR
Second Line	:	SUITE 202
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3400
Country	:	US
Telephone Number	:	860-233-8589
Fax Number	:	860-236-9636

Provider Business Practice Location Address
First Line	:	1 NORTHWESTERN DR
Second Line	:	SUITE 202
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3400
Country	:	US
Telephone Number	:	860-233-8589
Fax Number	:	860-236-9636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	12/31/2020

Similar Medicare Providers

1801758552 — JENNIFER MONAHAN
Practice Location Address:

1 NORTHWESTERN DR STE 101
BLOOMFIELD, CT
06002-3400

Practice Phone: 860-249-4862
Practice Fax: 860-760-5719

1093710972 — DR. LYNN LEBLANC DPM
Practice Location Address:

1 NORTHWESTERN DR , SUITE 301
BLOOMFIELD, CT
06002-3400

Practice Phone: 860-243-2951
Practice Fax: 860-243-5790

1932151743 — REGIONAL PHYSICAL THERAPY
Practice Location Address:

1 NORTHWESTERN DR , SUITE 101
BLOOMFIELD, CT
06002-3400

Practice Phone: 860-243-6571
Practice Fax: 860-243-6579

1831200989 — BLOOMFIELD ADVANCED NECK & BACK CARE
Practice Location Address:

1 NORTHWESTERN DR , SUITE 204
BLOOMFIELD, CT
06002-3400

Practice Phone: 860-243-5818
Practice Fax: 860-761-6677

1447337050 — OB-GYN ASSOCIATES OF WEST HARTFORD, PC
Practice Location Address:

1 NORTHWESTERN DR STE 202
BLOOMFIELD, CT
06002-3400

Practice Phone: 860-233-8589
Practice Fax: 860-236-9636

1366581738 — CAROL GORDON PT
Practice Location Address:

1 NORTHWESTERN DR , SUITE101
BLOOMFIELD, CT
06002-3400

Practice Phone: 860-243-6571
Practice Fax: 860-243-6579

Directions to “ HENRY ELI JACOBS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.