ARNOLD GLEN FONTANILLA

PENNSAUKEN, NJ
NPI1720191778
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NJ  25MB07716400)
Additional Taxonomies207Q00000X Family Medicine
(Licence: PA  OS012536)
Enumeration Date2006-08-16
Last Update Date2020-10-16
Business Address
Dr. ARNOLD GLEN FONTANILLA D.O.
6981 NORTH PARK DRIVE COOOPER RIVER WEST OFFICE BUILDING
PENNSAUKEN, NJ 08109
Phone number: 856-663-4949
Mailing Address
Dr. ARNOLD GLEN FONTANILLA D.O.
301 LIPPINCOTT DR STE 410
MARLTON, NJ 08053-4197
Phone number: 856-355-0340
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