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Individual

DR. EMILY JANE ACKERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
261 MAIN ST STE 102, SLATERSVILLE, RI 02876-1015
(401) 597-5656
(401) 597-5671
Mailing address
PO BOX 927, SLATERSVILLE, RI 02876
(401) 597-5656
(401) 597-5671

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
07Q00000X
RI
207Q00000X
Family Medicine Physician
Primary
MD11830
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD11830
LICENSE
RI
Enumeration date
02/24/2006
Last updated
03/29/2021
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