Healthcare Provider Details

I. General information

NPI: 1255393666
Provider Name (Legal Business Name): WILLIAM VRANOS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 06/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 BELMONT AVE SUITE #2
BRATTLEBORO VT
05301-6613
US

IV. Provider business mailing address

17 BELMONT AVE SUITE #2
BRATTLEBORO VT
05301-6613
US

V. Phone/Fax

Practice location:
  • Phone: 802-254-6211
  • Fax: 802-254-5937
Mailing address:
  • Phone: 802-254-6211
  • Fax: 802-254-5937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0420010897
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number150470
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: