Provider Demographics
NPI:1801864095
Name:KRAMER, NOEL MELITTA (DO)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:MELITTA
Last Name:KRAMER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1 COOPER PLZ
Mailing Address - Street 2:COOPER HOSPITAL/UMC (RADIATION ONCOLOGY)
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1461
Mailing Address - Country:US
Mailing Address - Phone:856-342-2300
Mailing Address - Fax:856-365-8504
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:COOPER HOSPITAL/UMC (RADIATION ONCOLOGY)
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2300
Practice Address - Fax:856-365-8504
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS010834L2085R0001X
NJ25MB079759002085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
010777989OtherAMERICHOICE
3K6165OtherHEALTHNET
NJ1357771OtherAETNA
2350715000OtherKEYSTONE IBC
PA101175550 0005Medicaid
2481059OtherUNITED HEALTHCARE
30035681OtherKEYSTONE MERCY HELATHPLAN
3218515OtherCIGNA
60027459OtherHORIZON NJ HEALTH
PA1357175OtherAETNA
P3722929OtherOXFORD
NJ0054623Medicaid
2769897000OtherAMERIHEALTH
PA1900369OtherPENNSYLVANIA BLUE SHIELD
30035681OtherKEYSTONE MERCY HELATHPLAN
NJ0054623Medicaid
010777989OtherAMERICHOICE