Individual
ANNA VAVRA SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 ALBANY STREET, SUITE 8B, SHAPIRO BLDG., BOSTON, MA 02118
(617) 638-7420
(617) 638-7289
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
1024156
MA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
1024156
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110176947A
—
MA
05
—
3151957
—
NH
Enumeration date
03/30/2020
Last updated
02/20/2026
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