# JENNERSVILLE FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medicine Oxford Tower Health Medical Group, Family Medicine West Grove Vineyard Way Tower Health Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801031562
- **Authorized official:** ROBERT EHINGER (SR VP FINANCIAL OPERATIONS)
- **Authorized official phone:** (484) 628-4681

## Contact information

- **Practice address:** 390 VINEYARD WAY, BLDG 501, WEST GROVE, PA 19390
- **Practice address phone:** (610) 869-0953
- **Mailing address:** PO BOX 13579, READING, PA 19612-3579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2008
- **Last updated:** 11/20/2021
