Healthcare Provider Details

I. General information

NPI: 1508940529
Provider Name (Legal Business Name): TOWER HEALTH MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date: 01/09/2008
Reactivation Date: 03/27/2008

III. Provider practice location address

301 S 7TH AVE SUITE 1020
WEST READING PA
19611-1473
US

IV. Provider business mailing address

PO BOX 13579
READING PA
19612-3579
US

V. Phone/Fax

Practice location:
  • Phone: 484-628-8408
  • Fax: 484-628-8382
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN RAYME
Title or Position: EVP & CFO
Credential:
Phone: 484-628-1324