Provider Demographics
NPI:1861487332
Name:HASSLER, ROBERT E (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:E
Last Name:HASSLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14 DOCTORS CIR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SUPPLY
Mailing Address - State:NC
Mailing Address - Zip Code:28462-4097
Mailing Address - Country:US
Mailing Address - Phone:910-754-9166
Mailing Address - Fax:910-754-2972
Practice Address - Street 1:14 DOCTORS CIR
Practice Address - Street 2:SUITE 5
Practice Address - City:SUPPLY
Practice Address - State:NC
Practice Address - Zip Code:28462-4097
Practice Address - Country:US
Practice Address - Phone:910-754-9166
Practice Address - Fax:910-754-2972
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC28508207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8940430Medicaid
NCC81776Medicare UPIN
NC203308DMedicare ID - Type Unspecified