Individual
ELIZABETH SUTTON
Active
Individual
ELIZABETH SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD09908
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01/01/2007
BCBS
RI
01
—
04/15/2009
UNITED HEALTHCARE
RI
01
—
11/12/2009
NHPRI
RI
01
—
12/29/2008
TUFTS HEALTH PLAN
RI
05
—
3190196
—
MA
05
—
7006974
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
07/31/2006
Last updated
02/04/2010
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