Takiff, Jerome William

Takiff, Jerome William is an individual health care provider with primary practice located at 895 East Main Street , Torrington CT 06790. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Takiff, Jerome William can be contacted via phone (860) 489-1291.

Contact Information

Primary practice address
895 East Main Street Torrington CT 06790
Phone: (860) 489-1291
Fax: (860) 489-1804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21436 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 21436 Connecticut

Profile Details

NPI number 1699796441
LBN Legal business name Takiff, Jerome William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jun 11th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699796441 NPPES
Connecticut MEDICAID 004394904
Connecticut Other C01177

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