Provider Demographics
NPI:1356367221
Name:ARBIZO-REBONG, MARIA VIOLETA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:VIOLETA
Last Name:ARBIZO-REBONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:VIOLETA
Other - Last Name:ARBIZO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2 GREENSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-2816
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:PA
Practice Address - Zip Code:19475-1241
Practice Address - Country:US
Practice Address - Phone:610-948-2400
Practice Address - Fax:610-948-2422
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062260207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG47927Medicare UPIN
PA068596RMJMedicare ID - Type Unspecified