Organization
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Active
Other names
PSYCHIATRY TOWER HEALTH MEDICAL GROUP ROOSEVELT BOULEVARD
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EHINGER (SR VP FINANCIAL OPERATIONS)
(484) 628-4681
Entity
Organization
Contact information
Practice address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(610) 743-6049
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
11/20/2021
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