Provider Demographics
NPI:1598876559
Name:FAMILY RESPIRATORY & MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:FAMILY RESPIRATORY & MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:SUTER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:410-254-0202
Mailing Address - Street 1:5522 HARFORD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-2231
Mailing Address - Country:US
Mailing Address - Phone:410-254-0202
Mailing Address - Fax:410-254-3912
Practice Address - Street 1:7012 S DUPONT HWY
Practice Address - Street 2:
Practice Address - City:FELTON
Practice Address - State:DE
Practice Address - Zip Code:19943-5702
Practice Address - Country:US
Practice Address - Phone:302-424-8302
Practice Address - Fax:302-424-8307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0201240002Medicare NSC
MD02-01240002Medicare ID - Type UnspecifiedMEDICARE