Provider Demographics
NPI:1114151651
Name:KREMER, BRANDON EDWARD (MD, PHD)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:EDWARD
Last Name:KREMER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PENN TOWER
Mailing Address - Street 2:3400 SPRUCE STREET
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4208
Mailing Address - Country:US
Mailing Address - Phone:215-662-5858
Mailing Address - Fax:
Practice Address - Street 1:16 PENN TOWER
Practice Address - Street 2:3400 SPRUCE STREET
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4208
Practice Address - Country:US
Practice Address - Phone:215-662-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT194967390200000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program