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Organization

TOWER HEALTH MEDICAL GROUP

Active
Other names
Sports Medicine - Tower Health Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
GARY CONNER (SENIOR VP & CFO)
(484) 628-8181
Entity
Organization

Contact information

Practice address
1350 BROADCASTING RD STE 201, WYOMISSING, PA 19610-3229
(610) 685-9600
(610) 685-6700
Mailing address
PO BOX 13579, READING, PA 19612-3579

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
207RS0010X
Sports Medicine (Internal Medicine) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
072790
MEDICARE PTAN
PA
Enumeration date
03/11/2013
Last updated
06/17/2019
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