Basic Information
Provider Information
NPI: 1447647177
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KRAMER
FirstName: DANIEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 834 WALNUT ST STE 650
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191075109
CountryCode: US
TelephoneNumber: 2159555161
FaxNumber: 2159236003
Practice Location
Address1: 834 WALNUT ST STE 650
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191075109
CountryCode: US
TelephoneNumber: 2159555161
FaxNumber: 2159236003
Other Information
ProviderEnumerationDate: 04/21/2015
LastUpdateDate: 08/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001XMD463167PAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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