Provider Demographics
NPI:1003459058
Name:MOBILE CARE SOLUTIONS PC
Entity Type:Organization
Organization Name:MOBILE CARE SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:GANDELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-869-5515
Mailing Address - Street 1:67 HOLLY HILL LN STE 102
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6072
Mailing Address - Country:US
Mailing Address - Phone:203-869-5515
Mailing Address - Fax:203-869-5515
Practice Address - Street 1:300 BARBER AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-2476
Practice Address - Country:US
Practice Address - Phone:203-869-5515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty