Individual provider · Type 1 NPI

Glen Anthony Fandetti, MD

Interventional Cardiology Physician · Charlotte, NC

NPI number 1265656094 Active

Practice location

101 E W T Harris Blvd, Ste 1213
Charlotte, NC 28262-3485

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 · (704) 373-0212
  • 10650 Park Rd, Charlotte, NC 28210-8538 · (704) 667-3840
  • 16455 Statesville Rd, Ste 490, Huntersville, NC 28078-7135 · (704) 863-1950
  • 1550 Faulk St, Ste 3100, Monroe, NC 28112-5086 · (704) 667-3410

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X2008-01700 (NC)
Cardiovascular Disease Physician 207RC0000X2008-01700 (NC)
Interventional Cardiology Physician Primary 207RI0011X2008-01700 (NC)

Interventional Cardiology Physician: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

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About NPI 1265656094

Glen Anthony Fandetti, MD's National Provider Identifier is 1265656094, issued on Apr 12, 2007. The primary taxonomy on file is Interventional Cardiology Physician (207RI0011X), and the practice location is in Charlotte, NC. The record was last updated on Jul 17, 2024.