Individual
DR. GLENN GANDELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 HOLLY HILL LN FL 3, GREENWICH, CT 06830-6071
(203) 869-5515
(203) 869-5765
Mailing address
81 HOLLY HILL LN FL 3, GREENWICH, CT 06830-6071
(203) 869-5515
(203) 869-5765
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
218641
NY
207R00000X
Internal Medicine Physician
44021
CT
207RC0000X
Cardiovascular Disease Physician
Primary
218641
NY
207RC0000X
Cardiovascular Disease Physician
44021
CT
207RC0000X
Cardiovascular Disease Physician
ME136084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02646115
—
NY
Enumeration date
07/09/2005
Last updated
07/05/2024
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