Provider Demographics
NPI:1922064211
Name:MAUE HEALTH INC
Entity Type:Organization
Organization Name:MAUE HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:R
Authorized Official - Last Name:MAUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-571-2221
Mailing Address - Street 1:168 N 11TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17801-2444
Mailing Address - Country:US
Mailing Address - Phone:717-571-2221
Mailing Address - Fax:
Practice Address - Street 1:168 N 11TH ST
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801-2444
Practice Address - Country:US
Practice Address - Phone:717-571-2221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102872Medicare ID - Type Unspecified