Healthcare Provider Details

I. General information

NPI: 1912981473
Provider Name (Legal Business Name): JEFFREY P CRAMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 05/18/2021
Certification Date: 05/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 SILVERSIDE RD STE 2
WILMINGTON DE
19810-3724
US

IV. Provider business mailing address

2700 SILVERSIDE RD STE 2
WILMINGTON DE
19810-3719
US

V. Phone/Fax

Practice location:
  • Phone: 302-478-8421
  • Fax: 302-478-8422
Mailing address:
  • Phone: 302-478-8421
  • Fax: 302-478-8422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberC10003003
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC1-0003003
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: