Individual
ROBERT M SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(215) 590-4327
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 443-1341
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD424562
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021188260001
—
PA
01
—
139452EMD
MEDICARE PTAN
PA
Enumeration date
08/21/2007
Last updated
05/19/2023
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