Organization
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Active
Other names
PSYCHIATRY TOWER HEALTH MEDICAL GROUP RACE STREET
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RAYME (EVP & CFO)
(484) 628-1324
Entity
Organization
Contact information
Practice address
1513 RACE ST, PHILADELPHIA, PA 19102-1125
(610) 734-6049
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017628220009
—
PA
Enumeration date
12/05/2019
Last updated
11/06/2025
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