Healthcare Provider Details

I. General information

NPI: 1649233495
Provider Name (Legal Business Name): SHELLEY D KRAMER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 08/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 LYMAN ST STE 101A B
WESTBOROUGH MA
01581
US

IV. Provider business mailing address

33 LYMAN ST
WESTBORO MA
01581
US

V. Phone/Fax

Practice location:
  • Phone: 508-366-1550
  • Fax: 508-836-9518
Mailing address:
  • Phone: 508-366-1550
  • Fax: 508-836-9518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number57223
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: