Healthcare Provider Details

I. General information

NPI: 1376359638
Provider Name (Legal Business Name): SUNMED MEDICAL SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 VAN NESS AVE
SAN FRANCISCO CA
94109-3023
US

IV. Provider business mailing address

36 ROUTE 70 W STE 214
MARLTON NJ
08053-3024
US

V. Phone/Fax

Practice location:
  • Phone: 800-714-7434
  • Fax:
Mailing address:
  • Phone: 800-714-7434
  • Fax: 800-715-5422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM ANTHONY LOBOSCO
Title or Position: PRESIDENT
Credential:
Phone: 856-552-6905