Dr. Arnold G Fontanilla, DO
Family Medicine in Pennsauken, New Jersey
1720191778- Practice location
- 6981 North Park Drive, Coooper River West Office Building, Pennsauken, NJ 08109
- Phone
- 856-663-4949
- Fax
- 856-663-6076
- Last updated
- October 16, 2020
Arnold Glen Fontanilla is a Family Medicine based in Pennsauken, NJ. Arnold Glen Fontanilla practices in Pennsauken, NJ and has the professional credentials of DO. The NPI Number for Arnold Glen Fontanilla is 1720191778 and holds a License No. 25MB07716400 (NJ). The current practice location address for Arnold Glen Fontanilla is 6981 North Park Drive, Coooper River West Office Building, Pennsauken, NJ 08109 and can be reached out via phone at 856-663-4949 and via fax at 856-663-6076.
Provider Profile Details
- NPI Number
- 1720191778
- Provider Name
- Arnold Glen Fontanilla
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6981 North Park Drive, Coooper River West Office Building, Pennsauken, NJ 08109
- Phone Number
- 856-663-4949
- Fax Number
- 856-663-6076
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 16, 2006
- Last Update Date
- October 16, 2020
- Certification Date
- October 16, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6981 North Park Drive
Coooper River West Office Building
Pennsauken, NJ 08109 - City
- Pennsauken
- State
- New Jersey
- Zip
- 08109
- Phone Number
- 856-663-4949
- Fax Number
- 856-663-6076
Provider Business Mailing Address Details
- Address
- 301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197 - City
- Marlton
- State
- NJ
- Zip
- 08053-4197
- Phone Number
- 856-355-0340
- Fax Number
- 856-355-0330
License Information
- License Number (1)
- 25MB07716400
- License State (1)
- NJ
- Taxonomy (1)
- Family Medicine · 207Q00000X · Primary
- License Number (2)
- OS012536
- License State (2)
- PA
- Taxonomy (2)
- Family Medicine · 207Q00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Pennsauken, NJ
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- Barbara Gleeson, MSN, APN, CFamily Medicine · NPI 1922087311
- Dean A Newton PAFamily Medicine · NPI 1568898997
- Dr. Benjamin Dratch, DOFamily Medicine · NPI 1023371762
- Dr. Carolyn Vo, DOFamily Medicine · NPI 1073298766
Frequently Asked Questions
What is the NPI number of Dr. Arnold G Fontanilla, DO?
The NPI number of Dr. Arnold G Fontanilla, DO is 1720191778. It was assigned on August 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Arnold G Fontanilla, DO?
Dr. Arnold G Fontanilla, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB07716400.
Where does Dr. Arnold G Fontanilla, DO practice?
The practice location is 6981 North Park Drive, Coooper River West Office Building, Pennsauken, NJ 08109. The office can be reached at 856-663-4949 (phone) or 856-663-6076 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720191778 directly on the NPPES registry website.