Organization
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Active
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
CHARLES MICHAEL VALENTINO JR. (VP OF REVENUE INTEGRITY)
(484) 628-9380
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
06/02/2026
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