Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD455593 | PA |
NPI | 1013259373 |
---|---|
Provider Name | Sadie Wachter Ackerman |
First Address | Monroeville, PA 15146-3108 |
Second Address | Monroeville, PA 15146-3500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2013 |
Last Update Date | 06/08/2021 |