Healthcare Provider Details

I. General information

NPI: 1306887005
Provider Name (Legal Business Name): KENNETH E CRAMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 ROUTE 109
CAPE MAY NJ
08204-5259
US

IV. Provider business mailing address

1 N ROUTE 47
CAPE MAY COURT HOUSE NJ
08210-1711
US

V. Phone/Fax

Practice location:
  • Phone: 609-884-4357
  • Fax: 609-884-4377
Mailing address:
  • Phone: 609-465-0828
  • Fax: 609-884-4377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA075287
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: