Individual
DANIELLE A. SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8081 INNOVATION PARK DR, FAIRFAX, VA 22031-4867
(571) 472-4724
(571) 472-0241
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102203473
VA
207RH0000X
Hematology (Internal Medicine) Physician
0102203473
VA
207RH0003X
Hematology & Oncology Physician
0102203473
VA
207RX0202X
Medical Oncology Physician
Primary
0102203473
VA
Other
Enumeration date
07/03/2006
Last updated
10/13/2021
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