Organization
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Active
Other names
Rheumatology Tower Health Medical Group Broad Street
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CONNER (VP & CFO)
(484) 628-1324
Entity
Organization
Contact information
Practice address
219 N BROAD ST FL 6, PHILADELPHIA, PA 19107-1519
(610) 743-6049
Mailing address
PO BOX 13579, READING, PA 19612-3579
(610) 743-6053
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/21/2020
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