Provider Demographics
NPI:1992141626
Name:ARCARO, ANNA C (MD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:C
Last Name:ARCARO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA ANNA
Other - Middle Name:C
Other - Last Name:TIOSECO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3 SLEEPY HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501-1962
Mailing Address - Country:US
Mailing Address - Phone:609-228-8820
Mailing Address - Fax:
Practice Address - Street 1:300B PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-1400
Practice Address - Country:US
Practice Address - Phone:609-448-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09256200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA09256200OtherNJ LICENSE