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Organization
WENTWORTH DOUGLASS PHYSICIAN CORPORATION
Active
Organization
WENTWORTH DOUGLASS PHYSICIAN CORPORATION
Active
Other names
The Doorway at WD
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL DEGENAARS (EXECUTIVE DIRECTOR OF FINANCE)
(603) 740-2806
Entity
Organization
Contact information
Practice address
798 CENTRAL AVE, DOVER, NH 03820-2520
(603) 609-6690
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3117235
—
NH
05
—
3126909
—
NH
05
—
3138637
—
NH
Enumeration date
06/26/2020
Last updated
12/17/2025
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