Provider Demographics
NPI:1861721946
Name:ANNA H. VANDERSCHRAAF,MD PA
Entity type:Organization
Organization Name:ANNA H. VANDERSCHRAAF,MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:H
Authorized Official - Last Name:VANDERSCHRAAF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-539-4949
Mailing Address - Street 1:21 PERRY ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-9446
Mailing Address - Country:US
Mailing Address - Phone:893-539-4949
Mailing Address - Fax:973-326-6768
Practice Address - Street 1:21 PERRY ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-9446
Practice Address - Country:US
Practice Address - Phone:973-539-4949
Practice Address - Fax:073-326-6768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA023461002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ460620Medicare PIN