Provider Demographics
NPI:1427353127
Name:KRAMVIS, AMALIA (RD)
Entity type:Individual
Prefix:
First Name:AMALIA
Middle Name:
Last Name:KRAMVIS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 COMMERCE LN
Mailing Address - Street 2:
Mailing Address - City:WEST BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08091-9254
Mailing Address - Country:US
Mailing Address - Phone:856-753-7763
Mailing Address - Fax:856-753-7714
Practice Address - Street 1:411 COMMERCE LN
Practice Address - Street 2:
Practice Address - City:WEST BERLIN
Practice Address - State:NJ
Practice Address - Zip Code:08091-9254
Practice Address - Country:US
Practice Address - Phone:856-753-7763
Practice Address - Fax:856-753-7714
Is Sole Proprietor?:No
Enumeration Date:2011-01-11
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDN004399133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered