Provider Demographics
NPI:1497907950
Name:EDWARD KRAMER JR
Entity Type:Organization
Organization Name:EDWARD KRAMER JR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:908-362-9522
Mailing Address - Street 1:174 STATE ROUTE 94
Mailing Address - Street 2:
Mailing Address - City:BLAIRSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07825-2115
Mailing Address - Country:US
Mailing Address - Phone:908-362-9522
Mailing Address - Fax:908-362-8858
Practice Address - Street 1:174 STATE ROUTE 94
Practice Address - Street 2:
Practice Address - City:BLAIRSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07825-2115
Practice Address - Country:US
Practice Address - Phone:908-362-9522
Practice Address - Fax:908-362-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00177400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJT45037Medicare UPIN