Provider Demographics
NPI:1164677530
Name:VAZQUEZ-ARAN, ANNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:
Last Name:VAZQUEZ-ARAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 427
Mailing Address - Street 2:
Mailing Address - City:KRESGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18333-0427
Mailing Address - Country:US
Mailing Address - Phone:570-664-8760
Mailing Address - Fax:
Practice Address - Street 1:9090 FRANKLIN HILL RD STE 201
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-9105
Practice Address - Country:US
Practice Address - Phone:570-223-5010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037105E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics