Organization
WENTWORTH DOUGLASS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL DEGENAARS (EXECUTIVE DIRECTOR OF FINANCE)
(617) 726-3884
Entity
Organization
Contact information
Practice address
200 ROUTE 108 STE 3, SOMERSWORTH, NH 03878-1119
(603) 742-6673
Mailing address
PO BOX 412540, BOSTON, MA 02241-2540
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
09/09/2020
Last updated
12/17/2025
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