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NPI Code Detail

MEDICARE: DR. HENRY CRAMER M.D.

MEDICARE: DR. HENRY CRAMER M.D.
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
1207Y00000XOtolaryngology PhysicianG62618CA
2207Y00000XOtolaryngology PhysicianMD456768PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3040016640OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200G626180OTHERCABLUE SHIELD

General Provider Information

NPI Number : 1801802061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HENRY CRAMER M.D.
Provider Business Mailing Address
First Line : 100 NORTH ACADEMY AVE.
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6144
Fax Number :
Provider Business Practice Location Address
First Line : 132 ABIGAIL LANE
Second Line :
City : PORT MATILDA
State : PA
Zip : 16870-5700
Country : US
Telephone Number : 814-272-5011
Fax Number : 814-272-6531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 08/31/2020

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Directions to “ DR. HENRY CRAMER M.D.” Practice Location

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