Healthcare Provider Details

I. General information

NPI: 1639443278
Provider Name (Legal Business Name): PINNACLE HEALTH MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2012
Last Update Date: 02/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 WALNUT ST SUITE 101
LEMOYNE PA
17043-1168
US

IV. Provider business mailing address

3 WALNUT ST SUITE 206
LEMOYNE PA
17043-1168
US

V. Phone/Fax

Practice location:
  • Phone: 717-909-0933
  • Fax: 717-909-0930
Mailing address:
  • Phone: 717-761-0208
  • Fax: 717-761-2023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH A CINCOTTA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 717-761-0208