GLEN ANTHONY FANDETTI

CHARLOTTE, NC
NPI1265656094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: NC  2008-01700)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NC  2008-01700)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NC  2008-01700)
Enumeration Date2007-04-12
Last Update Date2023-12-20
Business Address
GLEN ANTHONY FANDETTI MD
101 E W T HARRIS BLVD STE 1213
CHARLOTTE, NC 28262-3485
Phone number: 704-863-1950
Mailing Address
GLEN ANTHONY FANDETTI MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: