Organization
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Active
Other names
Nephrology Tower Health Medical Group Broad Street
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CONNER (CEO)
(484) 628-8181
Entity
Organization
Contact information
Practice address
219 N BROAD ST FL 9, PHILADELPHIA, PA 19107-1506
(610) 743-6049
Mailing address
PO BOX 13579, READING, PA 19612-3579
(610) 743-6049
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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