Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | G59337 | CA |
NPI | 1043273295 |
---|---|
Provider Name | Dr. Scott Kramer |
First Address | Fremont, CA 94538-1625 |
Second Address | Fremont, CA 94538-1625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 30/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E35213 | (02) | CA |