Healthcare Provider Details

I. General information

NPI: 1083521165
Provider Name (Legal Business Name): JOSEPH DANIEL GAIDANOWICZ JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LEDGE ST
BALDWINVILLE MA
01436-1359
US

IV. Provider business mailing address

1 LEDGE ST
BALDWINVILLE MA
01436-1359
US

V. Phone/Fax

Practice location:
  • Phone: 978-602-2137
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: