Healthcare Provider Details

I. General information

NPI: 1952319733
Provider Name (Legal Business Name): PINNACLE HEALTH MANAGEMENT, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 WEBSTER ST SUITE 8
HANOVER MA
02339-1227
US

IV. Provider business mailing address

105 WEBSTER ST SUITE 8
HANOVER MA
02339-1227
US

V. Phone/Fax

Practice location:
  • Phone: 781-754-6545
  • Fax: 781-536-0016
Mailing address:
  • Phone: 781-754-6545
  • Fax: 781-536-0016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: GARY C PHILLIPS
Title or Position: MANAGING PARTNER
Credential:
Phone: 781-754-6545