Individual
MARY S KRAEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3322 N BROAD ST, PHILADELPHIA, PA 19140-5185
(215) 707-1800
(215) 707-3644
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-1800
(215) 707-3644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD423477
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD423477
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010806440001
—
PA
Enumeration date
10/13/2005
Last updated
12/10/2020
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