Individual
ALYSSA MARIE ACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 GAITHER DR, MOUNT LAUREL, NJ 08054-1701
(856) 810-9888
Mailing address
101 GAITHER DR, MOUNT LAUREL, NJ 08054-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00629500
NJ
Other
Enumeration date
09/16/2019
Last updated
01/09/2025
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