Provider Demographics
NPI:1285837658
Name:SUBURBAN INDUSTRIAL MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:SUBURBAN INDUSTRIAL MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:SILBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-277-4851
Mailing Address - Street 1:PO BOX 1471
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-0439
Mailing Address - Country:US
Mailing Address - Phone:610-277-4851
Mailing Address - Fax:
Practice Address - Street 1:21 W FORNANCE ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3300
Practice Address - Country:US
Practice Address - Phone:610-277-4851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000004213335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier