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Contact Information

WENTWORTH DOUGLASS PHYSICIAN CORPORATION
789 CENTRAL AVE
DOVER, NH03820-2526
 Phone: 603-742-5252
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WENTWORTH DOUGLASS PHYSICIAN CORPORATION

NPI Number 1447352430
LBN Legal business name WENTWORTH DOUGLASS PHYSICIAN CORPORATION
Authorized official JOEL DEGENAARS - (EXECUTIVE DIRECTOR OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2006
Last updated 12/17/2025 - About 6 months ago
Identifiers
NH Medicaid 3081002
NH Medicaid 3084198
NH Medicaid 3123060
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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