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Individual

KATHERINE E WENTWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 663-2710
Mailing address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 663-2710

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19762
NH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/05/2016
Last updated
06/19/2019
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