Organization
TOWER HEALTH MEDICAL GROUP
Active
Other names
Advanced Fertility and Reproductive Medicine-Tower Health Medical Grp
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CONNER (CFO)
(484) 628-8181
Entity
Organization
Contact information
Practice address
301 S 7TH AVE, STE 245, WEST READING, PA 19611-1410
(484) 628-7900
(610) 685-5264
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
PA
207VE0102X
Reproductive Endocrinology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072790
MEDICARE PTAN
PA
Enumeration date
06/04/2013
Last updated
10/03/2017
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