| Gandelman Cardiology, Pc | |
|
81 Holly Hill Ln Fl 3 Greenwich CT 06830-2945 | |
| (203) 869-5515 | |
| (203) 869-5765 |
| Full Name | Gandelman Cardiology, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 81 Holly Hill Ln Fl 3, Greenwich, Connecticut |
| Authorized Official Name and Position | Glenn Gandelman (PRESIDENT) |
| Authorized Official Contact | 2038695515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gandelman Cardiology, Pc 81 Holly Hill Ln Fl 3 Greenwich CT 06830-2945 Ph: (203) 869-5515 | Gandelman Cardiology, Pc 81 Holly Hill Ln Fl 3 Greenwich CT 06830-2945 Ph: (203) 869-5515 |
| NPI Number | 1629264353 |
|---|---|
| Provider Enumeration Date | 09/17/2007 |
| Last Update Date | 01/19/2024 |
| Medicare PECOS PAC ID | 1355437484 |
|---|---|
| Medicare Enrollment ID | O20071019000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629264353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Glenn Gandelman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033117437 PECOS PAC ID: 5294781100 Enrollment ID: I20060307000073 |
| Provider Name | Marcus A Mayus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073734935 PECOS PAC ID: 0345315180 Enrollment ID: I20080813000806 |
| Provider Name | Yvette D Bailey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528170198 PECOS PAC ID: 9931186632 Enrollment ID: I20120910000512 |
| Provider Name | Mohammed Chaudary |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164770400 PECOS PAC ID: 9537438825 Enrollment ID: I20220224000788 |
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