Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | A115198 | CA |
Y | 2086X0206X | Surgical Oncologist | MD468823 | PA |
N | 2086X0206X | Surgical Oncologist | R3701 | TX |
NPI | 1003040353 |
---|---|
Provider Name | Dr. Geoffrey Wayne Krampitz |
First Address | Philadelphia, PA 19107-5001 |
Second Address | Philadelphia, PA 19107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2009 |
Last Update Date | 26/09/2019 |