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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLEN ANTHONY FANDETTI, MD

Active

GLEN ANTHONY FANDETTI, MD is a Hospice and Palliative Medicine healthcare provider located in CHARLOTTE, North Carolina. NPI 1265656094 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · CHARLOTTE, NC

Registration Details

NPI Number
1265656094
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2007 (19.374796556598 yrs)
Last Updated
Jul 17, 2024
Licenses
2008-01700 (NC)
2008-01700 (NC)
2008-01700 (NC)

Practice Information

Address
101 E W T HARRIS BLVD
STE 1213
CHARLOTTE, NC, 282623485
Browse NC providers · Browse ZIP 28262
Phone
7048631950
Primary Specialty
Hospice and Palliative Medicine
207RI0011X
Additional Specialty
Cardiovascular Disease

Other Hospice and Palliative Medicine Providers in CHARLOTTE, NC

Name Credential NPI
BERNARD MURTY REEN III MD 1740288042
JOHN ALDO PASQUINI MD 1740288059
ROBERT STEVEN IWAOKA MD 1144220377
GARY S NIESS MD 1720088826
DR. GABRIEL ANGEL DELGADO MD 1376511659
DR. AAMER A QURESHI M.D. 1043266943
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.