Healthcare Provider Details

I. General information

NPI: 1841837168
Provider Name (Legal Business Name): ARLENE ROSE ALINEA DOBBINS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 04/03/2020
Certification Date: 04/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 CHAPEL AVE W
CHERRY HILL NJ
08002-2048
US

IV. Provider business mailing address

151 FRIES MILL RD STE 301
TURNERSVILLE NJ
08012-2016
US

V. Phone/Fax

Practice location:
  • Phone: 856-513-4124
  • Fax:
Mailing address:
  • Phone: 856-512-4124
  • Fax: 856-302-5932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number26NJ00993000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: