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Organization

NJ MOBILE MEDICAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLENN GANDELMAN MD (SOLE OWNER)
(203) 869-5515
Entity
Organization

Contact information

Practice address
105 RIVER AVE STE 103, LAKEWOOD, NJ 08701-4267
(516) 595-8560
(516) 666-8370
Mailing address
81 HOLLY HILL LN FL 3, GREENWICH, CT 06830-2945
(203) 869-5515
(203) 869-5765

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA10120200
NJ

Other

Enumeration date
06/13/2017
Last updated
04/21/2026
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