Healthcare Provider Details
I. General information
NPI: 1639266323
Provider Name (Legal Business Name): HIGH 5 HAND CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
225 WATER ST SUITE C105
PLYMOUTH MA
02360-4060
US
IV. Provider business mailing address
225 WATER ST SUITE C105
PLYMOUTH MA
02360-4060
US
V. Phone/Fax
- Phone: 508-746-5220
- Fax: 508-746-5022
- Phone: 508-746-5220
- Fax: 508-746-5022
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0106X |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DINA
H
GALVIN
Title or Position: PRESIDENT
Credential: MD
Phone: 508-746-5220