Wentworth Douglass Physician Corporation

LBN: Wentworth Douglass Physician Corporation
Wentworth Douglass Physician Corporation is an health care organization with primary practice located at 789 Central Ave , Dover NH 03820-2526. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Hospitalist, Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Wentworth Douglass Physician Corporation can be contacted via phone (603) 742-5252, or through Gagnon, Trisha via phone (617) 643-5112.

Contact Information

Primary practice address
789 Central Ave Dover NH 03820-2526
Phone: (603) 742-5252
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gagnon, Trisha
Phone: (617) 643-5112

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X New Hampshire
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X

Profile Details

NPI number 1447352430
LBN Legal business name Wentworth Douglass Physician Corporation
DBA Doing business as
Authorized official Gagnon, Trisha
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2006
Last updated Jun 25th, 2024 - about 3 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447352430 NPPES
New Hampshire MEDICAID 3084198
New Hampshire MEDICAID 3081002

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