Healthcare Provider Details

I. General information

NPI: 1871852376
Provider Name (Legal Business Name): FELINA KREMER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2012
Last Update Date: 04/20/2024
Certification Date: 04/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8118 BUSTLETON AVE
PHILADELPHIA PA
19152-2803
US

IV. Provider business mailing address

8118 BUSTLETON AVE
PHILADELPHIA PA
19152-2803
US

V. Phone/Fax

Practice location:
  • Phone: 215-342-8118
  • Fax:
Mailing address:
  • Phone: 215-342-8118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number283018
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License NumberMD459878
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD459878
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: