Organization
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Active
Other names
THE PARTNERSHIP COMPREHENSIVE CARE PRACTICE TOWER-DREXEL ACADEMIC MED
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CONNER (EVP & CFO)
(484) 628-1324
Entity
Organization
Contact information
Practice address
1427 VINE ST FL 2, PHILADELPHIA, PA 19102-1031
(610) 743-6049
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/21/2020
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