Healthcare Provider Details

I. General information

NPI: 1295767580
Provider Name (Legal Business Name): COLENE M ARNOLD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 05/03/2020
Certification Date: 05/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2299 WOODBURY AVE STE 4-1
NEWINGTON NH
03801-7831
US

IV. Provider business mailing address

2299 WOODBURY AVE STE 4-1
NEWINGTON NH
03801-7831
US

V. Phone/Fax

Practice location:
  • Phone: 603-834-0766
  • Fax:
Mailing address:
  • Phone: 603-658-0938
  • Fax: 603-617-2665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number11949
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: