Organization
PATHOLOGY ASSOCIATES OF FREDERICKSBURG PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL F HINE MD (MANAGING PARTNER)
(540) 741-1130
Entity
Organization
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1168
(540) 741-1422
Mailing address
1001 SAM PERRY BLVD, MARY WASHINGTON HOSPITAL, FREDERICKSBURG, VA 22401-4453
(540) 741-1130
(540) 741-1142
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007031
BCBS
VA
Enumeration date
06/10/2006
Last updated
05/03/2019
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