Basic Information
| Provider Information | |||||||||
| NPI: | 1235163817 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHULTES | ||||||||
| FirstName: | ARTHUR | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1238 CHEWS LANDING RD | ||||||||
| Address2: | |||||||||
| City: | LAUREL SPRINGS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080212808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565459560 | ||||||||
| FaxNumber: | 8564975214 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | GLASSBORO | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080281637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8445422273 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2006 | ||||||||
| LastUpdateDate: | 01/05/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MB39206 | NJ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1748301 | 05 | NJ | MEDICAID |