Provider Demographics
NPI:1003425893
Name:SUNMED MEDICAL SYSTEMS LLC
Entity Type:Organization
Organization Name:SUNMED MEDICAL SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:LOBOSCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-552-6905
Mailing Address - Street 1:36 ROUTE 70 W STE 214
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3024
Mailing Address - Country:US
Mailing Address - Phone:800-714-7434
Mailing Address - Fax:800-715-5422
Practice Address - Street 1:601 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3781
Practice Address - Country:US
Practice Address - Phone:303-744-2286
Practice Address - Fax:303-744-2955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies