MEDICARE: ALBERT A. ACKIL, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician		MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	DA2422	OTHER	MA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	O36162	OTHER	MA	TUFTS HEALTH PLAN
3	000000005517	OTHER	MA	BMC HEALTH NET
4	M15003	OTHER		BCBS MA

General Provider Information

NPI Number	:	1932157773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERT A. ACKIL, M.D., INC.

Provider Business Mailing Address
First Line	:	PO BOX 859207
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02185-9207
Country	:	US
Telephone Number	:	800-927-0014
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 ROCHE BROTHERS WAY
Second Line	:	SUITE 100
City	:	NORTH EASTON
State	:	MA
Zip	:	02356-1000
Country	:	US
Telephone Number	:	508-238-3455
Fax Number	:	508-238-2296

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALBERT A ACKIL
Credential	:	M.D.
Telephone Number	:	508-238-3455

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	06/09/2009

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Directions to “ALBERT A. ACKIL, M.D., INC. ” Practice Location

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