Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Arnold Glen Fontanilla, DO

Individual provider Family Medicine Physician · NPI 1720191778

Dr. Arnold Glen Fontanilla, DO is a Family Practice in Pennsauken, New Jersey. Graduated from Kansas City University of Physicians and Surgeons in 2001, 25 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.

Years since qualifying
25
Trained at
Kansas City University of Physicians and Surgeons
Licensed in
NJ, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

6981 N Park Drive Coooper Riv W Ofc Bldg
Pennsauken, NJ 08109
Phone: (856) 663-4949
Fax: (856) 663-6076
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MB07716400 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS012536 (PA)

Record details

NPI number1720191778
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESOctober 16, 2020
Certification dateOctober 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated 2001 (25 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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