Healthcare Provider Details

I. General information

NPI: 1841603644
Provider Name (Legal Business Name): ARTHUR OPONDO OMONDI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2014
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 E EVESHAM RD STE 201A
VOORHEES NJ
08043-1559
US

IV. Provider business mailing address

2309 E EVESHAM RD STE 201A
VOORHEES NJ
08043-1559
US

V. Phone/Fax

Practice location:
  • Phone: 856-325-5400
  • Fax: 856-325-5416
Mailing address:
  • Phone: 856-325-5400
  • Fax: 856-325-5416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA12553300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: