Individual
MR. SCOTT ERIC SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 SANSOM ST STE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526
Mailing address
1020 SANSOM ST STE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD461181
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356769202
NPI
PA
Enumeration date
03/28/2014
Last updated
01/31/2019
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