Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 227553 | MA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 227553 | MA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 227553 | MA |
NPI | 1770541690 |
---|---|
Provider Name | Dennis E Kramer |
First Address | Boston, MA 02115-5728 |
Second Address | Boston, MA 02115-5728 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 03/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2134632 | (05) | MA |
J41586 | BCBS (01) | MA |