Organization
GLEN C. CANGELOSI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS FAYE L POLITO (INSURANCE CLERK BOOKKEEPER)
(504) 282-7212
Entity
Organization
Contact information
Practice address
4201 FRENCHMEN ST, NEW ORLEANS, LA 70122-3839
(504) 282-7212
(504) 282-7657
Mailing address
4201 FRENCHMEN ST, NEW ORLEANS, LA 70122-3839
(504) 282-7212
(504) 282-7657
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
016166
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1349259
—
LA
Enumeration date
02/13/2007
Last updated
07/02/2009
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