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Individual

DR. STUART J KRAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 EXECUTIVE DR, SUITE A, DANVILLE, VA 24541-4155
(434) 793-4711
(434) 797-2514
Mailing address
109 BRIDGE ST STE 300, DANVILLE, VA 24541-1222
(434) 793-4711
(434) 797-2514

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101039315
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006458092
VA
01
031427
ANTHEM BC OF VIRGINIA
VA
01
034487
ANTHEM BC OF VA GROUP#
VA
01
200000174
MEDICARE INDIVIDUAL NO
VA
01
200010325
RAILROAD MEDICARE
VA
Enumeration date
03/21/2006
Last updated
03/17/2018
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