Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 2019-01263 | NC |
Y | 208800000X | Urologist | 20456 | NH |
NPI | 1003475914 |
---|---|
Provider Name | Dr. Jason Akerman |
First Address | Manchester, NH 03104-4125 |
Second Address | Manchester, NH 03104-4125 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2019 |
Last Update Date | 22/07/2020 |