Provider Demographics
NPI:1306887005
Name:CRAMER, KENNETH E (MD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:E
Last Name:CRAMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 N ROUTE 47
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1711
Mailing Address - Country:US
Mailing Address - Phone:609-465-0828
Mailing Address - Fax:609-884-4377
Practice Address - Street 1:900 ROUTE 109
Practice Address - Street 2:
Practice Address - City:CAPE MAY
Practice Address - State:NJ
Practice Address - Zip Code:08204-5259
Practice Address - Country:US
Practice Address - Phone:609-884-4357
Practice Address - Fax:609-884-4377
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA075287174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0041505Medicaid
NJ2622198000OtherAMERIHEALTH
NJ082722Medicare ID - Type Unspecified
NJ0041505Medicaid