Provider Demographics
NPI:1992821557
Name:KRAMER, BARNETT S (MD)
Entity type:Individual
Prefix:DR
First Name:BARNETT
Middle Name:S
Last Name:KRAMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1156 REGAL OAK DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1051
Mailing Address - Country:US
Mailing Address - Phone:301-496-1508
Mailing Address - Fax:301-480-7660
Practice Address - Street 1:6100 EXECUTIVE BLVD
Practice Address - Street 2:ROOM 2B03
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3902
Practice Address - Country:US
Practice Address - Phone:301-496-1508
Practice Address - Fax:301-480-7660
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0019932207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0019932OtherPHYSICIAN AND SURGEON