Organization
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Active
Other names
PSYCHIATRY TOWER HEALTH MEDICAL GROUP ERIE AVENUE
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RAYME (EVP & CFO)
(484) 628-1324
Entity
Organization
Contact information
Practice address
160 E ERIE AVE FL 2, PHILADELPHIA, PA 19134-1011
(610) 743-6049
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
—
1017628220007
—
PA
05
—
1017628220015
—
PA
Enumeration date
10/25/2019
Last updated
11/06/2025
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