Individual
DALE F. SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12100 BLACK SWAN DRIVE, SUITE 201, LEWES, DE 19958-4988
(302) 644-3311
(302) 644-3300
Mailing address
211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
(302) 451-6913
(302) 368-7756
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C1-0008250
DE
207LP2900X
Pain Medicine (Anesthesiology) Physician
C1-0008250
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09909511
—
MS
01
—
1184681488
EMPLOYER - ORTHOPAEDIC ASSOC OF SO DE PA
—
Enumeration date
09/28/2006
Last updated
01/23/2020
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