Provider Demographics
NPI:1154699403
Name:GP MEDICAL USA LLC
Entity type:Organization
Organization Name:GP MEDICAL USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAT
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-768-3455
Mailing Address - Street 1:444 KELLEY DR
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:WEST BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08091-9210
Mailing Address - Country:US
Mailing Address - Phone:856-768-3455
Mailing Address - Fax:856-768-2922
Practice Address - Street 1:444 KELLEY DR
Practice Address - Street 2:SUITE 3B
Practice Address - City:WEST BERLIN
Practice Address - State:NJ
Practice Address - Zip Code:08091-9210
Practice Address - Country:US
Practice Address - Phone:856-768-3455
Practice Address - Fax:856-768-2922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0703377OtherSTATE LISCENSE