Healthcare Provider Details

I. General information

NPI: 1063914836
Provider Name (Legal Business Name): CATHERINE NJIRU-SEWER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2018
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 OWENSVILLE RD
WEST RIVER MD
20778-9702
US

IV. Provider business mailing address

134 OWENSVILLE RD
WEST RIVER MD
20778-9702
US

V. Phone/Fax

Practice location:
  • Phone: 410-867-4700
  • Fax:
Mailing address:
  • Phone: 410-867-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO035003
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: