Basic Information
Provider Information
NPI: 1548209356
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KRAMER
FirstName: JOHN
MiddleName: V.
NamePrefix: DR.
NameSuffix:  
Credential: D.P.M.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1100 WESCOTT DR STE 303
Address2:  
City: FLEMINGTON
State: NJ
PostalCode: 088224600
CountryCode: US
TelephoneNumber: 9087886449
FaxNumber: 9087886668
Practice Location
Address1: 1100 WESCOTT DR STE 303
Address2:  
City: FLEMINGTON
State: NJ
PostalCode: 08822
CountryCode: US
TelephoneNumber: 9087886449
FaxNumber: 9087886668
Other Information
ProviderEnumerationDate: 06/06/2006
LastUpdateDate: 06/05/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
213ES0131X006149-1NYY Podiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery

No ID Information.


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