MEDICARE: DME CARE MEDICAL SUPPLY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1114775103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DME CARE MEDICAL SUPPLY INC.

Provider Business Mailing Address
First Line	:	315 UNIVERSITY AVE UNIT 204
Second Line	:
City	:	WESTWOOD
State	:	MA
Zip	:	02090-2315
Country	:	US
Telephone Number	:	321-402-6716
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 UNIVERSITY AVE UNIT 204
Second Line	:
City	:	WESTWOOD
State	:	MA
Zip	:	02090-2315
Country	:	US
Telephone Number	:	321-402-6716
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MR. KRISHNA GIDWANI
Credential	:
Telephone Number	:	321-402-6716

Provider Enumeration Date	:	05/07/2024
Last Update Date	:	06/22/2024

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