Ackerman, Randy B
Ackerman, Randy B is an individual health care provider with primary practice located at 2370 Route 70 2Nd Floor, Suite 205, Cherry Hill NJ 08002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ackerman, Randy B can be contacted via phone (877) 388-2778.Contact Information
Primary practice address
2370 Route 70 2Nd Floor, Suite 205
Cherry Hill NJ 08002
Phone: (877) 388-2778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 25MA05341300 | New Jersey |
Profile Details
| NPI number | 1205893807 |
|---|---|
| LBN Legal business name | Ackerman, Randy B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Mar 4th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205893807 | NPPES |
| New Jersey | MEDICAID | 5232201 |
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