Provider Demographics
NPI:1063608735
Name:NORTH, CATHERINE ANDERSON (MD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANDERSON
Last Name:NORTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1410 PHOENIX RD W
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:MD
Mailing Address - Zip Code:21131-1024
Mailing Address - Country:US
Mailing Address - Phone:410-472-4544
Mailing Address - Fax:410-472-2601
Practice Address - Street 1:1410 PHOENIX RD W
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:MD
Practice Address - Zip Code:21131-1024
Practice Address - Country:US
Practice Address - Phone:410-472-4544
Practice Address - Fax:410-472-2601
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD361282085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology