Provider Demographics
NPI:1205930625
Name:ACKERMAN, ASHLEY DEALY (MD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DEALY
Last Name:ACKERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 BROOKLINE PL
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7224
Mailing Address - Country:US
Mailing Address - Phone:617-732-1510
Mailing Address - Fax:617-732-0986
Practice Address - Street 1:ONE BROOKLINE PLACE
Practice Address - Street 2:SUITE 501
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445
Practice Address - Country:US
Practice Address - Phone:617-732-1510
Practice Address - Fax:617-732-0986
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA221642207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology