Provider Demographics
NPI:1689622953
Name:KRAMER, ALANNA M (MD)
Entity Type:Individual
Prefix:
First Name:ALANNA
Middle Name:M
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 1:9501 ROOSEVELT BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1028
Mailing Address - Country:US
Mailing Address - Phone:215-969-4917
Mailing Address - Fax:215-969-5875
Practice Address - Street 1:9501 ROOSEVELT BLVD STE 305
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1028
Practice Address - Country:US
Practice Address - Phone:215-969-4917
Practice Address - Fax:215-969-5875
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062718L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA370011458OtherUNITED HEALTHCARE
PR0545741000OtherIBC,KEYSTONE
PA5623546OtherCIGNA
PA271754OtherHIGHMARK BLUE SHIELD
PA810345326OtherPHCS
PA2006120OtherUNITED HEALTHCARE
PA2210862OtherAETNA
PA271754OtherHIGHMARK BLUE SHIELD
PR0545741000OtherIBC,KEYSTONE
PAG69343Medicare UPIN
8679GH2Medicare PIN