Individual
CODY MORGAN KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-4100
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018699
NY
363A00000X
Physician Assistant
Primary
PA8527
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018699
NYS LICENSE NUMBER
NY
Enumeration date
06/29/2015
Last updated
06/30/2022
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