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JACOB MAALOUF MD
NPI 1063158954
Student in an Organized Health Care Education/Training Program in Manchester, CT

Active since May 12, 2022
130 HARTFORD RD, MANCHESTER, CT 06040(860) 533-4679 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Maalouf Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB MAALOUF MD (NPI 1063158954) is an individual student in an organized health care education/training program in Manchester, Connecticut and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1063158954
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB MAALOUFCredential: MD
Location Address130 HARTFORD RDManchester, CT 06040-5921
Mailing Address71 Haynes StManchester, CT 06040-4188 · (860) 533-4679 · Fax (860) 645-4151
Phone(860) 533-4679
Sole ProprietorNo
Enumeration DateMay 12, 2022
NPPES CertifiedMay 12, 2022
✔ NPI 1063158954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
130 HARTFORD RD, Manchester, CT 06040
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN SCOTT BAROODY
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
VERONICA MARTINS PEREIRA
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
DR. ERIC DAVID SASSU MD
Family Medicine
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4673
DIANE SIEH
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
KODILICHI VJ BALDINO MD
Anesthesiology
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4673
ANDREI LIEDERS
Hospitalist
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
SARAH HOWARD
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
HAZEL CONTRACTOR MD
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Maalouf's NPI number?

The NPI number for Jacob Maalouf is 1063158954. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Jacob Maalouf located?

Jacob Maalouf practices at 130 Hartford Rd, Manchester, CT 06040. The listed phone number is (860) 533-4679.

What is Jacob Maalouf's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Maalouf was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.