Individual
MR. MATTHEW C ACKERT
Active
Individual
MR. MATTHEW C ACKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
164570
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01068900
—
NY
01
—
0133867
GHI
NY
01
—
1926T1
BCBS
NY
01
—
1926T2
EMPIRE BCBS
NY
01
—
P00388301
RAILROAD MEDICARE
CA
Enumeration date
07/25/2006
Last updated
12/13/2007
Update your record
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