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Contact Information

GLENN GANDELMAN, MD
81 HOLLY HILL LN FL 3
GREENWICH, CT06830-6071
 Phone: 203-869-5515
 Fax: 203-869-5765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for GLENN GANDELMAN · (Male)

NPI # 1033117437
Status Active
Credentials MD
Entity Individual
Enumeration date 07/09/2005
Last updated 07/05/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 44021
  • FL License # ME136084
  • NY License # 218641
  • NY Medicaid 02646115
Hospital affiliation(s)
  • GREENWICH HOSPITAL ASSOCIATION - (Acute Care)
    5 PERRYRIDGE RD
    GREENWICH, CT 06830
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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