Provider Demographics
NPI:1598707580
Name:ACKERMAN, MELVILLE J (MD)
Entity Type:Individual
Prefix:
First Name:MELVILLE
Middle Name:J
Last Name:ACKERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:2301 E EVESHAM RD STE 110
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4502
Practice Address - Country:US
Practice Address - Phone:856-772-1600
Practice Address - Fax:856-772-9031
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2020-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA044670207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP713939OtherOXFORD
NJ223172576OtherDEWVON
NJ223172576OtherGREAT WEST
NJ10006974OtherRAIL ROAD MEDICARE
NJ223172576OtherUNITED HEALTH CARE
NJ55323 GRP# 112225OtherAETNA HOM
NJ223172576OtherPHCS
NJ509124 GRP#5890OtherAETNA PPO
NJF10098OtherHEALTHNET
NJ0069786000OtherKEYSTONE
NJ0069786000OtherAMERIHEALTH HMO
NJ223172576OtherTRICARE CHAMPUS
NJ1017036OtherNJ HEALTH (MERCY)
NJ223172576OtherHORIZON BLUE CROSS BLUE
NJ000001806OtherAMERIHEALTH PPO
NJ1020397OtherCIGNA
NJ223172576OtherTRICARE CHAMPUS
NJ0069786000OtherAMERIHEALTH HMO
NJP713939OtherOXFORD