Individual
DR. JOSEPH I ACRA
Active
Individual
DR. JOSEPH I ACRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D48256
MD
2084P0802X
Addiction Psychiatry Physician
D48256
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228008600
—
MD
01
—
A2076102
PTAN
MA
01
—
AC886926
MEDICARE
MD
01
—
G16219
UPIN
MD
Enumeration date
05/29/2008
Last updated
12/03/2015
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