Individual provider · NPI-1

Dr. Bruce Irwin Ackerman, DPM

Podiatrist · Philadelphia, PA

NPI number1316945983
StatusActive
Last updated in NPPESNov 9, 2021

Details

NPI
1316945983
Entity type
Individual (NPI-1)
Name
Dr. Bruce Irwin Ackerman
Credential
DPM
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 8, 2005
Certification date
Oct 15, 2021
Last updated
Nov 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X PodiatristSC002030LPAYes

Practice location

2417 Welsh Road
Suite 21 #240
Philadelphia, PA 19114

Phone 215-334-5700 · Fax 215-334-5774

Mailing address

2417 Welsh Road
Ste 21 #240
Philadelphia, PA 19114-1509

Phone 215-334-5700

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