Search › Connecticut › 207RP1001X
Jacob Peterson, MD, MBA
NPI 1295196384 · on the registry since 2016
Practice
- Address
- 79 Wawecus St Ste 103
Norwich, CT 06360 - Phone
- (860) 886-1862
- Fax
- (860) 886-2046
- Organisation at this address
- Paul M. Greif, M.D., L.L.C.
Norwich Ophthalmology Optical
Norwich Ophthalmology Group, P.C.
Pulmonary Physicians Of Norwich Pc
Cardiology Associates Of Norwich, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 44
Additional practice sites
- 600 Gresham Dr Fl 5, Norfolk, VA
- 20 York St, New Haven, CT
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 208D00000X
208M00000X
207R00000X
207R00000X
390200000X - Licence states on file
- VA, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut