Sutherland, Jewelle R

Sutherland, Jewelle R is an individual health care provider with primary practice located at 141 Route 70 E Ste B , Marlton NJ 08053-1855. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Sutherland, Jewelle R can be contacted via phone (856) 596-9057.

Contact Information

Primary practice address
141 Route 70 E Ste B Marlton NJ 08053-1855
Fax: (856) 596-0837
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA06384400 New Jersey
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA06384400 New Jersey

Profile Details

NPI number 1861482440
LBN Legal business name Sutherland, Jewelle R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Oct 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861482440 NPPES
New Jersey Other 2127243000 AMERIHEALTH HMO
New Jersey Other CB7268 AMERIHEALTH HMO
New Jersey Other 001443342 AMERIHEALTH HMO
New Jersey MEDICAID 7324006 AMERIHEALTH HMO

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