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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