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NPI Code Detail

MEDICARE: DR. MICHAEL ANASTASIOS KRAMER DDS

MEDICARE: DR. MICHAEL ANASTASIOS KRAMER DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodontics18393MA

General Provider Information

NPI Number : 1053481077
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ANASTASIOS KRAMER DDS
Provider Business Mailing Address
First Line : 616 BOSTON POST RD
Second Line : SUITE G
City : SUDBURY
State : MA
Zip : 01776-3376
Country : US
Telephone Number : 978-440-7003
Fax Number :
Provider Business Practice Location Address
First Line : 616 BOSTON POST RD
Second Line : SUITE G
City : SUDBURY
State : MA
Zip : 01776-3376
Country : US
Telephone Number : 978-440-7003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 03/06/2013

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