Individual
DR. BRUCE IRWIN ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2417 WELSH ROAD, SUITE 21 #240, PHILADELPHIA, PA 19114
(215) 334-5700
(215) 334-5774
Mailing address
2417 WELSH ROAD, STE 21 #240, PHILADELPHIA, PA 19114-1509
(215) 334-5700
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002030L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054016601
—
PA
01
—
0060614000
INDEPENDENCE BLUE CROSS
PA
01
—
5677430
AETNA INSURANCE ID#
PA
05
—
SC002030L15493
—
PA
Enumeration date
07/08/2005
Last updated
11/09/2021
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