Healthcare Provider Details

I. General information

NPI: 1750236386
Provider Name (Legal Business Name): PAULA J SAUERBORN CCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E PENNSYLVANIA AVE
TOWSON MD
21286-5313
US

IV. Provider business mailing address

300 E PENNSYLVANIA AVE
TOWSON MD
21286-5313
US

V. Phone/Fax

Practice location:
  • Phone: 410-377-7080
  • Fax: 410-377-7082
Mailing address:
  • Phone: 410-377-7080
  • Fax: 410-377-7082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code229N00000X
TaxonomyAnaplastologist
License NumberCCA06-54
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberCCA06-54
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: