Healthcare Provider Details

I. General information

NPI: 1083604300
Provider Name (Legal Business Name): SUNMED MEDICAL SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

36 WEST ROUTE 70 SUITE 214
MARLTON NJ
08053
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM A LOBOSCO
Title or Position: PRESIDENT
Credential:
Phone: 800-714-7434