Provider Demographics
NPI:1770509721
Name:KROLL, ARNOLD JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:JOSEPH
Last Name:KROLL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 WATER ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3015
Mailing Address - Country:US
Mailing Address - Phone:508-422-9400
Mailing Address - Fax:508-422-9409
Practice Address - Street 1:145 WEST ST
Practice Address - Street 2:GOODMAN EYE CENTER
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2278
Practice Address - Country:US
Practice Address - Phone:508-422-9400
Practice Address - Fax:508-422-9409
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA28444207W00000X, 207WX0108X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0108XAllopathic & Osteopathic PhysiciansOphthalmologyUveitis and Ocular Inflammatory Disease
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4116684OtherAETNA
MA028444OtherTUFTS HEALTHPLAN
MA04253946185OtherCIGNA
MA15140OtherHARVARD PILGRIM
181011888OtherRR MEDICARE
MA0800054OtherUNITED HEALTH
MAM05095OtherBCBS
MA0015760OtherMAIL HANDLERS
MA0015760OtherNEIGHBORHOOD HEALTH
MA0167231Medicaid
MA028444OtherTUFTS HEALTHPLAN
MA15140OtherHARVARD PILGRIM