Organization
TOWER HEALTH MEDICAL GROUP
Active
Organization
TOWER HEALTH MEDICAL GROUP
Active
Other names
Geriatric Center - Tower Health Medical Group, Geriatric Center Wyomissing Tower Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CONNER (CFO)
(484) 628-8181
Entity
Organization
Contact information
Practice address
560 VAN REED RD, SUITE 101, WYOMISSING, PA 19610-1799
(484) 628-2525
(610) 898-1212
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072790
MEDICARE PTAN
PA
Enumeration date
05/29/2007
Last updated
08/11/2020
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