Provider Demographics
NPI:1649806092
Name:COLENE ARNOLD MD GYNECOLOGY LLC
Entity type:Organization
Organization Name:COLENE ARNOLD MD GYNECOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COLENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-834-0766
Mailing Address - Street 1:2299 WOODBURY AVE STE 4-1
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7831
Mailing Address - Country:US
Mailing Address - Phone:603-834-0766
Mailing Address - Fax:
Practice Address - Street 1:2299 WOODBURY AVE STE 4-1
Practice Address - Street 2:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty