Provider Demographics
NPI:1316015738
Name:KRAMBERG OBS
Entity Type:Organization
Organization Name:KRAMBERG OBS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KRAMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-709-9200
Mailing Address - Street 1:1350 RTE 23 NTH
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470
Mailing Address - Country:US
Mailing Address - Phone:973-709-9200
Mailing Address - Fax:973-709-9207
Practice Address - Street 1:1350 RTE 23 NTH
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470
Practice Address - Country:US
Practice Address - Phone:973-709-9200
Practice Address - Fax:973-709-9207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical