Provider Demographics
NPI:1114775103
Name:DME CARE MEDICAL SUPPLY INC.
Entity type:Organization
Organization Name:DME CARE MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KRISHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIDWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-402-6716
Mailing Address - Street 1:315 UNIVERSITY AVE UNIT 204
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2315
Mailing Address - Country:US
Mailing Address - Phone:321-402-6716
Mailing Address - Fax:
Practice Address - Street 1:315 UNIVERSITY AVE UNIT 204
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-2315
Practice Address - Country:US
Practice Address - Phone:321-402-6716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies