Organization
TOWER HEALTH MEDICAL GROUP
Active
Other names
Hematology Oncology - Tower Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CONNER (CFO)
(484) 628-8181
Entity
Organization
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-0900
(484) 628-0901
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072790
MEDICARE PTAN
PA
Enumeration date
11/06/2012
Last updated
10/02/2017
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