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Organization

TOWER DREXEL ACADEMIC MEDICAL GROUP LLC

Active
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Organization

TOWER DREXEL ACADEMIC MEDICAL GROUP LLC

Active
Other names
Internal Medicine Tower Health Medical Group Broad Street
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES MICHAEL VALENTINO JR. (VP OF REVENUE INTEGRITY)
(484) 628-9380
Entity
Organization

Contact information

Practice address
219 N BROAD ST FL 6, PHILADELPHIA, PA 19107-1519
(610) 743-7026
Mailing address
PO BOX 13579, READING, PA 19612-3579
(610) 743-6049

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RG0100X
Gastroenterology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3400P26
MC ID
Enumeration date
10/25/2019
Last updated
06/02/2026
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