Basic Information
| Provider Information | |||||||||
| NPI: | 1598876559 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FAMILY RESPIRATORY & MEDICAL SUPPLY, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5522 HARFORD RD | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212142231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4102540202 | ||||||||
| FaxNumber: | 4102543912 | ||||||||
| Practice Location | |||||||||
| Address1: | 7012 S DUPONT HWY | ||||||||
| Address2: | |||||||||
| City: | FELTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199435702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3024248302 | ||||||||
| FaxNumber: | 3024248307 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2006 | ||||||||
| LastUpdateDate: | 12/19/2011 | ||||||||
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| AuthorizedOfficialLastName: | SUTER | ||||||||
| AuthorizedOfficialFirstName: | KENNETH | ||||||||
| AuthorizedOfficialMiddleName: | RICHARD | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT CEO | ||||||||
| AuthorizedOfficialTelephone: | 4102540202 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
| AuthorizedOfficialNameSuffix: | SR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BX2000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies |
No ID Information.