Kraemer, Mary S

Kraemer, Mary S is an individual health care provider with primary practice located at 3322 N Broad St , Philadelphia PA 19140-5185. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Kraemer, Mary S can be contacted via phone (215) 707-1800.

Contact Information

Primary practice address
3322 N Broad St Philadelphia PA 19140-5185
Phone: (215) 707-1800
Fax: (215) 707-3644
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD423477 Pennsylvania
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD423477 Pennsylvania

Profile Details

NPI number 1568450468
LBN Legal business name Kraemer, Mary S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Dec 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568450468 NPPES
Pennsylvania MEDICAID 1010806440001

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