Provider Demographics
NPI:1760438055
Name:KRAMER, NEAL (DPM)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:
Last Name:KRAMER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 CETRONIA RD STE 303
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9168
Mailing Address - Country:US
Mailing Address - Phone:610-973-6200
Mailing Address - Fax:866-644-0894
Practice Address - Street 1:250 CETRONIA RD STE 303
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9168
Practice Address - Country:US
Practice Address - Phone:610-973-6200
Practice Address - Fax:866-644-0894
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001569L213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA133642OtherMEDPLUS
PA0776163OtherAETNA
PA0051076000OtherAMERIHEALTH
PA01205701OtherCAPITAL BLUE CROSS
PA0051076000OtherKEYSTONE EAST
PA0700120011OtherRAILROAD MEDICARE
PA232907386001OtherTHREE RIVERS
PA0000163728OtherHIGHMARK BLUE SHIELD
PA0005018380002Medicaid
PA1517018OtherGATEWAY
PA163729Medicare ID - Type Unspecified
PA0005018380002Medicaid