Provider Demographics
NPI:1760412613
Name:KRAMER, MICHAEL AARON (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:AARON
Last Name:KRAMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:141 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1471
Mailing Address - Country:US
Mailing Address - Phone:847-722-8858
Mailing Address - Fax:508-297-1190
Practice Address - Street 1:12 INGALLS CT
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-3712
Practice Address - Country:US
Practice Address - Phone:978-686-2807
Practice Address - Fax:781-268-5070
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA253485207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL10608640OtherCAQH PROVIDER ID
ILBK4947175OtherDEA NUMBER
IL336054608OtherCONTROLLED SUBSTANCE
ILBK4947175OtherDEA NUMBER
IL04930316OtherBCBS PROVIDER NUMBER
ILG29003Medicare UPIN
ILBK4947175OtherDEA NUMBER
IL036093311OtherSTATE LICENSE
IL364456682OtherSTATE TAX ID NUMBER