Arnold Glen Fontanilla in Pennsauken - Family Medicine

Arnold Glen Fontanilla - NPI 1720191778

Arnold Glen Fontanilla is a Family Medicine in Pennsauken, New Jersey. Arnold Glen Fontanilla practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Arnold Glen Fontanilla is 1720191778. The last update date is 2020-10-16.

Arnold Glen Fontanilla's current location address is 6981 North Park Drive, Pennsauken, New Jersey. You can contact this provider via phone number 8566634949 and fax number 8566636076. The mailing address for Arnold Glen Fontanilla is 6981 North Park Drive, Pennsauken, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Arnold Glen Fontanilla
Address 6981 North Park Drive, Pennsauken, New Jersey
Phone Number 8566634949
Fax Number 8566636076
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1720191778
Provider Enumeration Date 2006-08-16
Last Updated Date 2020-10-16

Provider Mailing Address Detail

Address 6981 North Park Drive
City Pennsauken
State New Jersey (NJ)
Post Code 8109
Phone Number 8566634949
Fax Number 8566636076

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 25MB07716400
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1014376180001 PA --

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FAQs about Arnold Glen Fontanilla

What is the unique 10-digit identifier code assigned to Arnold Glen Fontanilla by the Centers for Medicare & Medicaid Services?

The Arnold Glen Fontanilla has been issued the NPI (National Provider Identifier) 1720191778 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Arnold Glen Fontanilla is geographically located?

The Arnold Glen Fontanilla is physically situated at the following location: 6981 North Park Drive, Pennsauken, NJ, 8109.

What is Arnold Glen Fontanilla's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Arnold Glen Fontanilla is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720191778 to Arnold Glen Fontanilla?

The Centers for Medicare & Medicaid Services originally issued the 1720191778 to Arnold Glen Fontanilla on 2006-08-16.

As of what date was the information pertaining to Arnold Glen Fontanilla, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Arnold Glen Fontanilla, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-16.

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