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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205893807 NPPES
New Jersey MEDICAID 5232201

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