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General NPI Number Information
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NPI Number | 1891014262
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Entity Type | Individual
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Provider Name | DUKE OSCAR KASPRISIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 05/25/2010
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Provider Practice Location Address
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Address Line | 91 W SHORE RD
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City | SOUTH HERO
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State | VT
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Zip | 05486-4613
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Country | US
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Telephone | 802-372-8983
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Fax | 802-378-5072
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Provider Business Mailing Address
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Address Line | 91 W SHORE RD
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City | SOUTH HERO
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State | VT
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Zip | 05486-4613
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Country | US
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Telephone | 802-372-8983
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Fax | 802-378-5072
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 39094
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 01046432A
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License Number State | IN
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