Individual
RANDY B ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2370 ROUTE 70, 2ND FLOOR, SUITE 205, CHERRY HILL, NJ 08002
(877) 388-2778
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA05341300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5232201
—
NJ
Enumeration date
04/27/2006
Last updated
03/04/2022
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