MEDICARE: GLEN C. CANGELOSI MD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	016166	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972645448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLEN C. CANGELOSI MD LLC

Provider Business Mailing Address
First Line	:	4201 FRENCHMEN ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122-3839
Country	:	US
Telephone Number	:	504-282-7212
Fax Number	:	504-282-7657

Provider Business Practice Location Address
First Line	:	4201 FRENCHMEN ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122-3839
Country	:	US
Telephone Number	:	504-282-7212
Fax Number	:	504-282-7657

Authorized Official
Title or Position	:	INSURANCE CLERK BOOKKEEPER
Name	:	MRS. DORIS FAYE L POLITO
Credential	:
Telephone Number	:	504-282-7212

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/02/2009

Similar Medicare Providers

1326048398 — DR. GLEN C CANGELOSI MD
Practice Location Address:

4201 FRENCHMEN ST
NEW ORLEANS, LA
70122-3839

Practice Phone: 504-282-7212
Practice Fax: 504-282-7657

1245394261 — GNO OPTICAL
Practice Location Address:

4201 FRENCHMEN ST
NEW ORLEANS, LA
70122-3839

Practice Phone: 504-284-5780
Practice Fax:

1770777492 — GNO OPTICAL
Practice Location Address:

4201 FRENCHMEN ST , SUITE 1
NEW ORLEANS, LA
70122-3839

Practice Phone: 504-284-5780
Practice Fax: 504-282-7657

1982091054 — JEFF VINET
Practice Location Address:

4201 FRENCHMEN ST
NEW ORLEANS, LA
70122-3839

Practice Phone: 504-282-7212
Practice Fax:

1497714562 — MID-CITY NEW ORLEANS DIALYSIS PARTNERSHIP, LLC
Practice Location Address:

3839 ULLOA ST
NEW ORLEANS, LA
70119-6950

Practice Phone: 504-483-7771
Practice Fax: 504-438-7710

1932128469 — DR. SUSAN BIEBER PH.D.
Practice Location Address:

427 NEW KARNER RD
ALBANY, NY
12205-3839

Practice Phone: 518-377-4093
Practice Fax: 518-370-4095

Directions to “GLEN C. CANGELOSI MD LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.