Individual
DR. PETER RAYMOND CASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 WESTVIEW RD, SUITE 302, COLCHESTER, VT 05446-8025
(802) 655-8888
(802) 985-2566
Mailing address
105 WESTVIEW RD, SUITE 302, COLCHESTER, VT 05446-8025
(802) 655-8888
(802) 985-2566
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042-0009989
VT
207VE0102X
Reproductive Endocrinology Physician
042-0009989
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02064762
NY MEDICAID
NY
05
—
0VN2218
—
VT
Enumeration date
08/01/2006
Last updated
01/27/2016
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