Organization
FAMILY RESPIRATORY & MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH RICHARD SUTER SR. (PRESIDENT/CEO)
(410) 254-0202
Entity
Organization
Contact information
Practice address
5522 HARFORD RD, BALTIMORE, MD 21214-2231
(410) 254-0202
(410) 254-3912
Mailing address
5522 HARFORD RD, BALTIMORE, MD 21214-2231
(410) 254-0202
(410) 254-3912
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
019632
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056215
NORTHWOOD NPN
MD
05
—
099978400
—
MD
05
—
100002087
—
DE
01
—
216994
HIGHMARK
MD
01
—
270857
ALLIANCE, MAMSI, ETAL
MD
01
—
37262
INJ. WORKERS INS. FUND
MD
01
—
52175301
BCBS OF CUMBERLAND
MD
01
—
52958
AMERGROUP
MD
01
—
F381
CAREFIRST BC, ETAL
MD
Enumeration date
06/17/2005
Last updated
12/16/2011
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