Jaccoma, Edward H.

Jaccoma, Edward H. is an individual health care provider with primary practice located at 87 Grandview Ave Ste A , Waterbury CT 06708-2523. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jaccoma, Edward H. can be contacted via phone (203) 574-2020.

Contact Information

Primary practice address
87 Grandview Ave Ste A Waterbury CT 06708-2523
Phone: (203) 574-2020
Fax: (203) 596-2230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 56003 Connecticut
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 011998 Maine

Profile Details

NPI number 1982681367
LBN Legal business name Jaccoma, Edward H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Sep 14th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982681367 NPPES
Maine MEDICAID 134050099
Maine MEDICAID 1982681367

Popular Providers