Individual
MR. KRISHNA GIDWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COF, CDME
Contact information
Practice address
92 GRAPE ST STE 2A, NEW BEDFORD, MA 02740-2104
(321) 402-6716
(508) 819-4989
Mailing address
92 GRAPE ST STE 2A, NEW BEDFORD, MA 02740-2104
(321) 402-6716
(508) 819-4989
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
CPED3498
DE
225000000X
Orthotic Fitter
Primary
C52107
MD
Other
Enumeration date
03/04/2011
Last updated
06/10/2020
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