Healthcare Provider Details

I. General information

NPI: 1902872542
Provider Name (Legal Business Name): ADELE TOWERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LOTHROP ST BENEDUM GERIATRIC CENTER, 4E,MUH
PITTSBURGH PA
15213-2536
US

IV. Provider business mailing address

200 LOTHROP ST BENEDUM GERIATRIC CENTER, 4E,MUH
PITTSBURGH PA
15213-2536
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-4200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number64657
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberMD2024-0340
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD039849E
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number036.168131
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: