Provider Demographics
NPI:1003814260
Name:KRAMER, RACHEL L (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:L
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 CENTRAL AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-3265
Mailing Address - Country:US
Mailing Address - Phone:610-251-9433
Mailing Address - Fax:610-251-9539
Practice Address - Street 1:325 CENTRAL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-3265
Practice Address - Country:US
Practice Address - Phone:610-251-9433
Practice Address - Fax:610-251-9539
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD065354L207V00000X
NJ25MA09904300207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9727973Medicaid
PA338769TGWMedicare PIN
MA9727973Medicaid
MAM21216Medicare ID - Type UnspecifiedSEE ALSO A33198