Jack Ackerman, DO
Internal Medicine in San Jose, CA. Individual provider (NPI-1).
NPI number1780794107
StatusActive
Last updated in NPPESMar 9, 2016
Details
- NPI
- 1780794107
- Entity type
- Individual (NPI-1)
- Name
- Jack Ackerman
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Mar 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 20A6210 | CA | Yes |
| 208M00000X | Hospitalist | 20A6210 | CA |
Practice location
227 N Jackson AveSan Jose, CA 95116-1603
Phone 408-347-2002 · Fax 408-347-2189
Mailing address
400 Race StSan Jose, CA 95126-3518
Phone 408-278-3121 · Fax 408-278-3194
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