Individual
DR. CARL MASON SUTHERLAND II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
539 28TH AVE, SAN MATEO, CA 94403-2601
(650) 393-4053
Mailing address
539 28TH AVE, SAN MATEO, CA 94403-2601
(650) 393-4053
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
MD.03368R
KS
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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