Dr. Glenn Joseph Fennelly
Pediatrician Pediatric Infectious Diseases
1400 Pelham Pkwy S
Bronx
, New York 10461-1138
Dr. Glenn Joseph Fennelly
Pediatrician Pediatric Infectious Diseases
1400 Pelham Pkwy S
Bronx
, New York 10461-1138
(915) 215-5386
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. Glenn Joseph Fennelly
- 440 Raynolds St
- El Paso, TX
- Zip : 79905-1613
- Fax : (915) 215-5386
- Phone : (915) 215-4480
Second Address
- Dr. Glenn Joseph Fennelly
- 1400 Pelham Pkwy S
- Bronx, NY
- Zip : 10461-1138
- Fax : (718) 918-4469
- Phone : (718) 918-3060
Reviews
FAQs
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Is Dr. Glenn Joseph Fennelly a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 177223-1 | NY |
| N | 208000000X | Pediatrician | S7213 | TX |
| Y | 2080P0208X | Pediatric Infectious Diseases | S7213 | TX |
National Provider Identifier
| NPI | 1538220678 |
|---|---|
| Provider Name | Dr. Glenn Joseph Fennelly |
| First Address | El Paso, TX 79905-1613 |
| Second Address | Bronx, NY 10461-1138 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2006 |
| Last Update Date | 02/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01484248 | (05) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.