Individual
DR. JOSHUA ROBERT ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7115
Mailing address
3131 PRINCETON PIKE, BUILDING 5 SUITE 109, LAWRENCEVILLE, NJ 08648
(609) 989-9211
(609) 896-0249
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA09738800
NJ
2084P0800X
Psychiatry Physician
279149
NY
2084P0800X
Psychiatry Physician
Primary
60636
MN
390200000X
Student in an Organized Health Care Education/Training Program
279149
NY
Other
Enumeration date
07/17/2014
Last updated
02/18/2019
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