MEDICARE: DR. DAVID TIMOTHY KRAMER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	045077	GA
2	207Q00000X	Family Medicine Physician	0101248748	VA

General Provider Information

NPI Number	:	1720066228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID TIMOTHY KRAMER M.D.

Provider Business Mailing Address
First Line	:	856 J CLYDE MORRIS BLVD STE A
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23601-1318
Country	:	US
Telephone Number	:	757-316-5800
Fax Number	:	757-534-5190

Provider Business Practice Location Address
First Line	:	2855 DENBIGH BLVD STE A
Second Line	:
City	:	GRAFTON
State	:	VA
Zip	:	23692-6501
Country	:	US
Telephone Number	:	757-968-5700
Fax Number	:	757-968-5717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	10/04/2017

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