Individual
ERIC SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 N PENNELL RD, MEDIA, PA 19063-5520
(610) 891-0114
(610) 891-0559
Mailing address
28 N PENNELL RD, MEDIA, PA 19063-5520
(610) 891-0114
(610) 891-0559
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
PA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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