Individual
DR. R MARSHALL ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9601 BLACKWELL RD STE 100, ROCKVILLE, MD 20850-6477
(301) 340-9200
(301) 340-6934
Mailing address
9601 BLACKWELL RD STE 100, ROCKVILLE, MD 20850-6477
(301) 340-9200
(301) 340-6934
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0002443
MD
207X00000X
Orthopaedic Surgery Physician
D0002443
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BLUE SHIELD OF NCA
MD
01
—
1080142007
CIGNA
MD
01
—
200008826
MEDICARE RAILROAD
MD
01
—
225302
MAMSI
MD
01
—
410043
BLUE SHIELD OF MARYLAND
MD
01
—
492968
NCPPO
MD
Enumeration date
02/22/2006
Last updated
03/08/2016
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