Individual
DR. DAVID FASSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
Mailing address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420007195
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009124
—
VT
Enumeration date
07/13/2006
Last updated
07/08/2007
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