Healthcare Provider Details

I. General information

NPI: 1801148697
Provider Name (Legal Business Name): MATTHEW ROBERT ARKEBAUER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2012
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2848 S DELSEA DR STE 2C
VINELAND NJ
08360-7042
US

IV. Provider business mailing address

2848 S DELSEA DR STE 2C
VINELAND NJ
08360-7042
US

V. Phone/Fax

Practice location:
  • Phone: 856-794-9090
  • Fax: 856-794-3058
Mailing address:
  • Phone: 856-794-8845
  • Fax: 856-794-5658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number25MB09849200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: