Provider Demographics
NPI:1407835861
Name:KRAMER, SYBIL MEG (MD)
Entity Type:Individual
Prefix:
First Name:SYBIL
Middle Name:MEG
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 1:830 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-2711
Mailing Address - Country:US
Mailing Address - Phone:781-662-1976
Mailing Address - Fax:781-662-2210
Practice Address - Street 1:830 MAIN ST
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-2711
Practice Address - Country:US
Practice Address - Phone:617-846-0973
Practice Address - Fax:781-662-2210
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA58510207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0481031OtherEVERCARE
MA110078350OtherRAILROAD MEDICARE
MA705112OtherTUFTS
MA991380OtherNETWORK HEALTH
MA0427225630003OtherCIGNA
MAA03064KROtherPRIVATE
MA0092130OtherUS HEALTH
MA41950OtherFALLON
MANP0079870OtherHEALTH NET
MA0101907Medicaid
MA60089OtherHARVARD PILGRIM
MAA03064OtherBLUE SHIELD
MA2171237OtherAETNA
MA110078350OtherRAILROAD MEDICARE
MA2171237OtherAETNA