Organization
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RAYME (CFO)
(443) 377-0616
Entity
Organization
Contact information
Practice address
3401 MARKET ST STE 105A, PHILADELPHIA, PA 19104-3315
(215) 220-4720
(215) 220-0425
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
01/14/2026
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