Individual
JULIE P SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 BEVERLY RD, WELLESLEY, MA 02481-1121
(303) 881-3391
Mailing address
55 BEVERLY RD, WELLESLEY, MA 02481-1121
(303) 881-3391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38745
CO
207RC0000X
Cardiovascular Disease Physician
Primary
38745
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015928
KAISER-COMMERCIAL NUMBER
—
05
—
77905041
—
CO
Enumeration date
04/19/2007
Last updated
08/05/2014
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