Individual provider · Type 1 NPI

Jacob Edward Peterson, MD, MBA

Pulmonary Disease Physician · Norwich, CT

NPI number 1295196384 Active

Practice location

79 Wawecus St Ste 103
Norwich, CT 06360-2173

Call (860) 886-1862 Map

Fax (860) 886-2046

Other practice locations

  • 20 York St, New Haven, CT 06510-3220 · (203) 688-4242
  • 600 Gresham Dr Fl 5, Norfolk, VA 23507-1904 · (757) 388-3198

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X0101263068 (VA)
Hospitalist Physician 208M00000X0101263068 (VA)
Internal Medicine Physician 207R00000X76208 (CT)
Internal Medicine Physician 207R00000X0101263068 (VA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pulmonary Disease Physician Primary 207RP1001X76208 (CT)

Pulmonary Disease Physician: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

11 other providers at this address

Other pulmonary disease physician providers in Norwich

See all in Norwich →

About NPI 1295196384

Jacob Edward Peterson, MD, MBA's National Provider Identifier is 1295196384, issued on Mar 16, 2016. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Norwich, CT. The record was last updated on Aug 4, 2026.