Basic Information
| Provider Information | |||||||||
| NPI: | 1891770517 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KRAMER | ||||||||
| FirstName: | E | ||||||||
| MiddleName: | MICHAEL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14275 MIDWAY RD | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | ADDISON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750013614 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | |||||||||
| FaxNumber: | 6102714245 | ||||||||
| Practice Location | |||||||||
| Address1: | 3805 W CHESTER PIKE BLDG D | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | NEWTOWN SQUARE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190732329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8002570117 | ||||||||
| FaxNumber: | 6105503079 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2005 | ||||||||
| LastUpdateDate: | 07/01/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | MD029957E | PA | N | Allopathic & Osteopathic Physicians | Dermatology | 207ND0900X | 35.094158 | OH | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207ND0900X | 25MA04525200 | NJ | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207ND0900X | 016658 | ME | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207ND0900X | 030390 | CT | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207ND0900X | 166213 | NY | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207ND0900X | 156056 | MA | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207ND0900X | 57861751205 | UT | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207ND0900X | C10007641 | DE | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207ND0900X | ME57881 | FL | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207ND0900X | MD029957E | PA | Y | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207ND0900X | D0062646 | MD | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology |
No ID Information.