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Individual
GLENN ROSS GANGI
Active
Individual
GLENN ROSS GANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
17068
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206904
UNISON HEALTH PLAN
SC
01
—
0930136
CIGNA
SC
01
—
2199551A
CIGNA MEDICARE
NC
01
—
4241328
AETNA
SC
01
—
776932
WELLCARE
SC
05
—
7905534
—
NC
01
—
80023027
SELECT HEALTH
SC
05
—
G1521
—
SC
05
—
GP4522
—
SC
01
—
P00360556
RAILROAD MEDICARE
SC
05
—
T10681
—
SC
Enumeration date
03/07/2006
Last updated
12/29/2016
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