Provider Demographics
NPI:1316918956
Name:KRAMER, ALAN D (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:D
Last Name:KRAMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 LAUREL OAK RD
Mailing Address - Street 2:SUITE #165
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4312
Mailing Address - Country:US
Mailing Address - Phone:856-424-3600
Mailing Address - Fax:856-424-7154
Practice Address - Street 1:1105 LAUREL OAK RD
Practice Address - Street 2:SUITE #165
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4312
Practice Address - Country:US
Practice Address - Phone:856-424-3600
Practice Address - Fax:856-424-7154
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04975400207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2152908Medicaid
D18720Medicare UPIN
NJ2152908Medicaid