Individual
LORETTA SUTPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8115 MAPLE LAWN BLVD STE 140, FULTON, MD 20759
(240) 459-1800
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036110655
IL
207Q00000X
Family Medicine Physician
C54030
CA
207Q00000X
Family Medicine Physician
Primary
D77132
MD
Other
Enumeration date
12/05/2006
Last updated
01/18/2023
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