NPI 1003115395

Jason Thomas Ackrivo, MD

Practitioner Pulmonary Disease Physician Philadelphia, PA

Practice location

Address: 3400 Spruce St, Philadelphia, PA 19104-4230
Phone: (215) 614-0871

Registered specialties

Pulmonary Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RP1001X Licence MD458117 (PA)

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Registry record

NPI: 1003115395
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2011
Record last updated: 5 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.