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Organization
WENTWORTH DOUGLASS HOSPITAL
Active
Organization
WENTWORTH DOUGLASS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL DEGENAARS (VP OF FINANCE)
(603) 742-5252
Entity
Organization
Contact information
Practice address
789 CENTRAL AVENUE, DOVER, NH 03820
(603) 740-2400
(603) 740-2244
Mailing address
PO BOX 412540, BOSTON, MA 02241-2540
(603) 740-2400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
247100000X
Radiologic Technologist
—
—
2471B0102X
Bone Densitometry Radiologic Technologist
—
—
2471M2300X
Mammography Radiologic Technologist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
282N00000X
General Acute Care Hospital
00010
NH
282N00000X
General Acute Care Hospital
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074430
—
NH
05
—
3126778
—
NH
05
—
3127023
—
NH
05
—
3137697
—
NH
Enumeration date
07/20/2005
Last updated
11/07/2024
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