Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 41008 | MA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 41008 | MA |
NPI | 1336192079 |
---|---|
Provider Name | David Acker |
First Address | Brookline, MA 02445-6002 |
Second Address | Brookline, MA 02445-6002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 25/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
205478 | (05) | MA |