Healthcare Provider Details
I. General information
NPI: 1134460264
Provider Name (Legal Business Name): TOWER HEALTH MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2013
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3703 PERKIOMEN AVE
READING PA
19606-2714
US
IV. Provider business mailing address
PO BOX 13579
READING PA
19612-3579
US
V. Phone/Fax
- Phone: 610-898-7570
- Fax: 610-898-9160
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
RAYME
Title or Position: CFO
Credential:
Phone: 443-377-0616