Active NPIIndividual providerSole proprietor

Dr. Glenn Gandelman, MD

Internal Medicine, Cardiovascular Disease in Greenwich, Connecticut

NPI Number1033117437
Practice location
81 Holly Hill Ln Fl 3, Greenwich, CT 06830-6071
Fax
203-869-5765
Last updated
July 5, 2024

Glenn Gandelman is an Internal Medicine, Cardiovascular Disease based in Greenwich, CT. Glenn Gandelman practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Glenn Gandelman is 1033117437 and holds a License No. 218641 (NY). The current practice location address for Glenn Gandelman is 81 Holly Hill Ln Fl 3, Greenwich, CT 06830-6071 and can be reached out via phone at 203-869-5515 and via fax at 203-869-5765.

Provider Profile Details

NPI Number
1033117437
Provider Name
Glenn Gandelman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
81 Holly Hill Ln Fl 3, Greenwich, CT 06830-6071
Phone Number
203-869-5515
Fax Number
203-869-5765
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
Yes
Provider Enumeration Date
July 9, 2005
Last Update Date
July 5, 2024
Certification Date
July 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
81 Holly Hill Ln Fl 3
Greenwich, CT 06830-6071
Zip
06830-6071
Phone Number
203-869-5515
Fax Number
203-869-5765
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
81 Holly Hill Ln Fl 3
Greenwich, CT 06830-6071
City
Greenwich
State
CT
Zip
06830-6071
Phone Number
203-869-5515
Fax Number
203-869-5765

License Information

License Number (1)
218641
License State (1)
NY
Taxonomy (1)
Specialist · 174400000X
License Number (2)
44021
License State (2)
CT
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
ME136084
License State (3)
FL
License Number (4)
44021
License State (4)
CT
License Number (5)
218641
License State (5)
NY
Taxonomy (5)
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Glenn Gandelman, MD?

The NPI number of Dr. Glenn Gandelman, MD is 1033117437. It was assigned on July 9, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Glenn Gandelman, MD?

Dr. Glenn Gandelman, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in NY under license number 218641.

Where does Dr. Glenn Gandelman, MD practice?

The practice location is 81 Holly Hill Ln Fl 3, Greenwich, CT 06830-6071. The office can be reached at 203-869-5515 (phone) or 203-869-5765 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033117437 directly on the NPPES registry website.

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