Provider Demographics
NPI:1275860355
Name:SUNMED MEDICAL SYSTEMS LLC
Entity Type:Organization
Organization Name:SUNMED MEDICAL SYSTEMS LLC
Other - Org Name:SUNMED MEDICAL SYSTEMS MASSACHUSETTES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOBOSCO
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:800-714-7434
Mailing Address - Street 1:235 GREENFIELD RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SOUTH DEERFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01373-9753
Mailing Address - Country:US
Mailing Address - Phone:800-714-7434
Mailing Address - Fax:800-715-5422
Practice Address - Street 1:235 GREENFIELD RD
Practice Address - Street 2:SUITE 7
Practice Address - City:SOUTH DEERFIELD
Practice Address - State:MA
Practice Address - Zip Code:01373-9753
Practice Address - Country:US
Practice Address - Phone:800-714-7434
Practice Address - Fax:800-715-5422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies