Dr. Jacob Edward Peterson, MD, MBA
Dr. Jacob Edward Peterson, MD, MBA is an Internal Medicine in Norwich, Connecticut. Qualified in 2012, 14 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Connecticut and Virginia.
- Years since qualifying
- 14
- Licensed in
- CT, VA
- In the registry since
- 2016
- Specialties on file
- 6
What do these letters mean?
Practice location Address checks out
79 Wawecus St Ste 103Norwich, CT 06360-2173
Phone: (860) 886-1862
Fax: (860) 886-2046
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 20 York St, New Haven, CT 06510-3220 — (203) 688-4242
- 600 Gresham Dr Fl 5, Norfolk, VA 23507-1904 — (757) 388-3198
Specialties & licences
| Pulmonary Disease Physician (primary) | Taxonomy 207RP1001X · Licence 76208 (CT) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence 0101263068 (VA) |
| Hospitalist Physician | Taxonomy 208M00000X · Licence 0101263068 (VA) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 76208 (CT) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 0101263068 (VA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1295196384 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , MBA |
| Sole proprietor | No |
| NPI enumerated | March 16, 2016 |
| Last updated in NPPES | August 4, 2026 |
| Certification date | August 4, 2026 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Also practises | PULMONARY DISEASE |
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Norwich
-
Dr. David Warren Boxwell, MD
67 Church St Ste 300, Norwich, CT 06360-0636 · (860) 884-6855
-
International Vein Clinics LLC
113 Salem Tpke Ste 1, Norwich, CT 06360-6484 · (844) 482-7285