Organization
TOWER HEALTH MEDICAL GROUP
Active
Other names
Gynecologic 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 BLDG N, WEST READING, PA 19611-2143
(484) 628-8905
(484) 628-5189
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072790
MEDICARE PTAN
PA
Enumeration date
09/27/2006
Last updated
05/20/2019
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