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Organization

TOWER HEALTH MEDICAL GROUP

Active
Other names
Weight Loss Surgery and Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT EHINGER (SR VP FINANCIAL OPERATIONS)
(484) 628-1324
Entity
Organization

Contact information

Practice address
1220 BROADCASTING RD STE 100, WYOMISSING, PA 19610-3221
(484) 628-5673
Mailing address
PO BOX 13579, READING, PA 19612-3579

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
072790
MEDICARE PTAN
PA
Enumeration date
11/29/2006
Last updated
11/26/2021
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