Provider Demographics
NPI:1568464568
Name:KRAMER, JOEL R (DO)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:R
Last Name:KRAMER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:12265 TOWNSEND RD
Mailing Address - Street 2:STE 500
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19154-1201
Mailing Address - Country:US
Mailing Address - Phone:215-856-1010
Mailing Address - Fax:215-698-3730
Practice Address - Street 1:7901 BUSTLETON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-3328
Practice Address - Country:US
Practice Address - Phone:215-543-0060
Practice Address - Fax:215-543-0099
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2015-12-03
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Provider Licenses
StateLicense IDTaxonomies
PAOS004563L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010015210001Medicaid
PA0010015210001Medicaid
PA090576NPYMedicare PIN