Organization
WENTWORTH DOUGLASS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL DEGENAARS (EXECUTIVE DIRECTOR OF FINANCE)
(603) 740-2806
Entity
Organization
Contact information
Practice address
67 CORPORATE DR BLDG A, PORTSMOUTH, NH 03801-2847
(603) 610-8070
Mailing address
PO BOX 412540, BOSTON, MA 02241-2540
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2471M2300X
Mammography Radiologic Technologist
—
—
261QR0404X
Cardiac Rehabilitation Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074430
—
NH
Enumeration date
04/16/2020
Last updated
12/17/2025
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