Provider Demographics
NPI:1386649895
Name:KRAMAN, DAVID J (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:KRAMAN
Suffix:
Gender:M
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:PO BOX 8500-6335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-6335
Mailing Address - Country:US
Mailing Address - Phone:215-698-7333
Mailing Address - Fax:215-673-9492
Practice Address - Street 1:2137 WELSH RD
Practice Address - Street 2:STE 2D
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-4963
Practice Address - Country:US
Practice Address - Phone:215-698-7333
Practice Address - Fax:215-673-9492
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041913E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA8315371OtherAETNA
PA0014042670001Medicaid
PA232691968OtherHEALTH PARTNERS
PA0638607000OtherKEYSTONE IBC
PA30106255OtherKEYSTONE MERCY
PA734666OtherHIGHMARK BLUE SHIELD
PA734666Medicare ID - Type Unspecified
PA0014042670001Medicaid
PA734666R8CMedicare PIN