Healthcare Provider Details
I. General information
NPI: 1245321157
Provider Name (Legal Business Name): TOWER HEALTH MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2006
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date: 01/09/2008
Reactivation Date: 03/26/2008
III. Provider practice location address
420 S 5TH AVE
WEST READING PA
19611-2143
US
IV. Provider business mailing address
PO BOX 13579
READING PA
19612-3579
US
V. Phone/Fax
- Phone: 484-628-5455
- Fax: 484-628-5772
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
RAYME
Title or Position: EVP & CFO
Credential:
Phone: 484-628-1324