Healthcare Provider Details

I. General information

NPI: 1952331829
Provider Name (Legal Business Name): HEMATOLOGY-ONCOLOGY ASSOCIATES OF FREDERICKSBURG, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 07/21/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 EMPIRE CT
FREDERICKSBURG VA
22408-1949
US

IV. Provider business mailing address

4501 EMPIRE CT
FREDERICKSBURG VA
22408-1949
US

V. Phone/Fax

Practice location:
  • Phone: 540-371-0079
  • Fax: 540-371-4254
Mailing address:
  • Phone: 540-371-0079
  • Fax: 540-371-4254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES L. MAURER
Title or Position: PRESIDENT
Credential: MD
Phone: 540-371-0079