Healthcare Provider Details

I. General information

NPI: 1033155395
Provider Name (Legal Business Name): DANIEL WILLIAM CRAMER MD SCD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 LONGWOOD AVE BRIGHAM AND WOMENS HOSP DEPT OF OBSTETRICS AND GYNECOLO
BOSTON MA
02115
US

IV. Provider business mailing address

221 LONGWOOD AVE BRIGHAM AND WOMENS HOSP DEPT OF OBSTETRICS AND GYNECOLO
BOSTON MA
02115
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-4895
  • Fax: 617-732-4899
Mailing address:
  • Phone: 617-732-4895
  • Fax: 617-732-4899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number37133
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: