Provider Demographics
NPI:1477788396
Name:SUTOR, CAROLYN M (VMD)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:M
Last Name:SUTOR
Suffix:
Gender:F
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 YOUNGS FORD RD
Mailing Address - Street 2:
Mailing Address - City:GLADWYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19035-1511
Mailing Address - Country:US
Mailing Address - Phone:610-642-3102
Mailing Address - Fax:610-642-4397
Practice Address - Street 1:1014 YOUNGS FORD RD
Practice Address - Street 2:
Practice Address - City:GLADWYNE
Practice Address - State:PA
Practice Address - Zip Code:19035-1511
Practice Address - Country:US
Practice Address - Phone:610-642-3102
Practice Address - Fax:610-642-4397
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABV-008850-L174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian