Fandetti, Glen Anthony

Fandetti, Glen Anthony is an individual health care provider with primary practice located at 101 E W T Harris Blvd Ste 1213, Charlotte NC 28262-3485. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Fandetti, Glen Anthony can be contacted via phone (704) 863-1950.

Contact Information

Primary practice address
101 E W T Harris Blvd Ste 1213 Charlotte NC 28262-3485
Phone: (704) 863-1950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2008-01700 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2008-01700 North Carolina
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 2008-01700 North Carolina

Profile Details

NPI number 1265656094
LBN Legal business name Fandetti, Glen Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 17th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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