Individual provider · NPI-1

Dr. Adam Lee Ackerman, MD

Hospitalist · New Haven, CT

NPI number1497982235
StatusActive
Last updated in NPPESMay 18, 2015

Details

NPI
1497982235
Entity type
Individual (NPI-1)
Name
Dr. Adam Lee Ackerman
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 19, 2009
Last updated
May 18, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist53701CTYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

20 York Street, Cb-2041
New Haven, CT 06510-3220

Phone 203-688-4748 · Fax 203-688-4740

Mailing address

20 York Street, Cb-2041
New Haven, CT 06510-3220

Phone 203-688-4748 · Fax 203-688-4740

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