Provider Demographics
NPI:1891014262
Name:KASPRISIN, DUKE OSCAR (MD)
Entity Type:Individual
Prefix:DR
First Name:DUKE
Middle Name:OSCAR
Last Name:KASPRISIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:91 W SHORE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH HERO
Mailing Address - State:VT
Mailing Address - Zip Code:05486-4613
Mailing Address - Country:US
Mailing Address - Phone:802-372-8983
Mailing Address - Fax:802-378-5072
Practice Address - Street 1:91 W SHORE RD
Practice Address - Street 2:
Practice Address - City:SOUTH HERO
Practice Address - State:VT
Practice Address - Zip Code:05486-4613
Practice Address - Country:US
Practice Address - Phone:802-372-8983
Practice Address - Fax:802-378-5072
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN390942080P0207X
IN01046432A2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology