Provider Demographics
NPI:1053375402
Name:ARNOLD, STEVEN JAY (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAY
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:118 MOOSEHEAD TRL
Mailing Address - Street 2:STE 5
Mailing Address - City:NEWPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04953-4055
Mailing Address - Country:US
Mailing Address - Phone:207-368-5189
Mailing Address - Fax:207-368-4213
Practice Address - Street 1:1008 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DOVER FOXCROFT
Practice Address - State:ME
Practice Address - Zip Code:04426-3745
Practice Address - Country:US
Practice Address - Phone:207-564-8710
Practice Address - Fax:207-564-8715
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2011-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME11679207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E10788Medicare UPIN
MM2486Medicare ID - Type Unspecified