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Contact Information

BRUCE I ACKERMAN, DPM
2417 WELSH ROAD
SUITE 21 #240
PHILADELPHIA, PA19114
 Phone: 215-334-5700
 Fax: 215-334-5774
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRUCE I ACKERMAN · (Male)

NPI # 1316945983
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/08/2005
Last updated 11/09/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # SC002030L
  • PA Medicaid 0054016601
  • PA Medicaid SC002030L15493
  • PA Other 5677430 AETNA INSURANCE ID#
  • PA Other 0060614000 INDEPENDENCE BLUE CROSS
Hospital affiliation(s) Not Available
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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