Provider Demographics
NPI:1164782157
Name:SWIFT, CATRIONA MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:CATRIONA
Middle Name:MARIE
Last Name:SWIFT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 GEIPE RD STE 274
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4176
Mailing Address - Country:US
Mailing Address - Phone:667-234-8725
Mailing Address - Fax:410-368-8726
Practice Address - Street 1:700 GEIPE RD STE 274
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4176
Practice Address - Country:US
Practice Address - Phone:667-234-8725
Practice Address - Fax:410-368-8726
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101019971208600000X
MDH91599208600000X
NC2017-00845208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery