Individual
DR. FREDERICK ROBERT MAUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1083 BLOOM RD STE 1, DANVILLE, PA 17821-6789
(570) 275-6080
(570) 275-6089
Mailing address
240 WASHINGTON AVE., SUNBURY, PA 17801
(717) 571-2221
(570) 286-1703
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD025476E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008518450004
—
PA
Enumeration date
11/28/2005
Last updated
09/28/2018
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