Gandelman, Glenn
Gandelman, Glenn is an sole proprietor health care provider with primary practice located at 81 Holly Hill Ln Fl 3 , Greenwich CT 06830-6071. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Gandelman, Glenn can be contacted via phone (203) 869-5515.Contact Information
Primary practice address
81 Holly Hill Ln Fl 3
Greenwich CT 06830-6071
Phone: (203) 869-5515
Fax: (203) 869-5765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 218641 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 44021 | Connecticut |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME136084 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 44021 | Connecticut |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 218641 | New York |
Profile Details
| NPI number | 1033117437 |
|---|---|
| LBN Legal business name | Gandelman, Glenn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2005 |
| Last updated | Jul 5th, 2024 - about 4 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033117437 | NPPES |
| New York | MEDICAID | 02646115 |
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