JASON THOMAS ACKRIVO — Medicare Enrolled Provider (PRACTITIONER - PULMONARY DISEASE, PA)
JASON THOMAS ACKRIVO — Medicare Enrolled Provider (PRACTITIONER - PULMONARY DISEASE, PA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: JASON THOMAS ACKRIVO; Type: Individual; NPI: 1003115395.
| Name | JASON THOMAS ACKRIVO |
|---|---|
| Type | Individual |
| NPI | 1003115395 |
| Provider type | PRACTITIONER - PULMONARY DISEASE |
| State | PA |
| Enrollment ID | I20181129000033 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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