Organization
ACKLAND SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KINGSLEY ACKLAND MD (PRESIDENT)
(508) 888-6907
Entity
Organization
Contact information
Practice address
449 ROUTE 130, SUITE 8, SANDWICH, MA 02563-2339
(508) 888-6907
Mailing address
449 ROUTE 130, SUITE 8, SANDWICH, MA 02563-2339
(508) 888-6907
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
1845471
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
76697
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610007
TUFTS PAYEE #
MA
01
—
M16223
BLUE CROSS GROUP #
MA
Enumeration date
02/14/2007
Last updated
08/22/2020
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