Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 042-0009989 | VT |
N | 207VE0102X | Reproductive Endocrinologist | 042-0009989 | VT |
NPI | 1295741965 |
---|---|
Provider Name | Dr. Peter Raymond Casson |
First Address | Colchester, VT 05446-8025 |
Second Address | Colchester, VT 05446-8025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 27/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02064762 | NY MEDICAID (01) | NY |
0VN2218 | (05) | VT |
F99234 | (02) | VT |