Provider Demographics
NPI:1417025834
Name:KREMER, WOLF PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:WOLF
Middle Name:PETER
Last Name:KREMER
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 1:461 CAMBRIDGE ST
Mailing Address - Street 2:APT # 1
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-2023
Mailing Address - Country:US
Mailing Address - Phone:504-931-6961
Mailing Address - Fax:
Practice Address - Street 1:461 CAMBRIDGE ST
Practice Address - Street 2:APT # 1
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-2023
Practice Address - Country:US
Practice Address - Phone:504-931-6961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA228789207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology