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Contact Information

ADAM M ACKERMAN, MD
55 FRUIT ST
BOSTON, MA02114-2696
 Phone: 617-869-1518
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ADAM M ACKERMAN · (Male)

NPI # 1316359631
Status Active
Credentials MD
Entity Individual
Enumeration date 05/21/2014
Last updated 10/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 2086S0102X
  • MA Other 284292 MASSACHUSETTS BOARD OF MEDICINE
Hospital affiliation(s)
  • FLETCHER ALLEN HOSPITAL OF VERMONT - (Acute Care)
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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