Provider Demographics
NPI:1336785765
Name:DEVELOPED MEDICAL LLC
Entity type:Organization
Organization Name:DEVELOPED MEDICAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RONDINELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-301-5070
Mailing Address - Street 1:300 CRAIG RD STE 215
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8742
Mailing Address - Country:US
Mailing Address - Phone:732-301-5070
Mailing Address - Fax:732-398-5157
Practice Address - Street 1:300 CRAIG RD STE 215
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8742
Practice Address - Country:US
Practice Address - Phone:732-301-5070
Practice Address - Fax:732-398-5157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies