Individual
ALICE D ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 706-5181
(410) 706-5103
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
D31670
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689696825
—
VA
05
—
399901700
—
MD
Enumeration date
07/24/2006
Last updated
05/09/2008
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