Provider Demographics
NPI:1295767580
Name:ARNOLD, COLENE M (MD)
Entity type:Individual
Prefix:
First Name:COLENE
Middle Name:M
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2299 WOODBURY AVE
Mailing Address - Street 2:STE 4-1
Mailing Address - City:NEWINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7831
Mailing Address - Country:US
Mailing Address - Phone:603-658-0938
Mailing Address - Fax:603-617-2665
Practice Address - Street 1:2299 WOODBURY AVE
Practice Address - Street 2:STE 4-1
Practice Address - City:NEWINGTON
Practice Address - State:NH
Practice Address - Zip Code:03801-7831
Practice Address - Country:US
Practice Address - Phone:603-834-0766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2020-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11949207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30203664Medicaid
NH01Y005088NH01OtherANTHEM
RE7251Medicare ID - Type Unspecified
NH30203664Medicaid