Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | ||
N | 222Z00000X | Podiatrist | ||
N | 225000000X | Orthotic Fitter |
NPI | 1912980509 |
---|---|
Provider Name | Faith Kramer |
First Address | Marblehead, MA 01945-1003 |
Second Address | Salem, MA 01970-2711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 26/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1534009 | (05) | MA |
336454 | BLUE CROSS OF MASS (01) | MA |
601336 | TUFTS (01) | MA |
703042 | HARVARD PILGRIM (01) | MA |