Individual
IAN SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
397 LINCOLN RD, WALPOLE, MA 02081-1218
(508) 688-7703
Mailing address
61 WILLIAMS ST, QUINCY, MA 02171-1834
(203) 947-3054
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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