Healthcare Provider Details

I. General information

NPI: 1649806092
Provider Name (Legal Business Name): COLENE ARNOLD MD GYNECOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2020
Last Update Date: 03/18/2020
Certification Date: 03/18/2020
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: 603-834-0766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: COLENE M ARNOLD
Title or Position: OWNER
Credential: MD
Phone: 603-834-0766