Provider Demographics
NPI:1659596062
Name:HASSLER, CAROL R (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:R
Last Name:HASSLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:DRAWER 37
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05402-0070
Mailing Address - Country:US
Mailing Address - Phone:802-863-7338
Mailing Address - Fax:802-863-7635
Practice Address - Street 1:108 CHERRY ST
Practice Address - Street 2:DRAWER 37
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-4295
Practice Address - Country:US
Practice Address - Phone:802-863-7338
Practice Address - Fax:802-863-7635
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
VT042-0007314208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT042-0007314OtherSTATE LICENSE NUMBER
VT1001549Medicaid
VT1001549Medicaid