MEDICARE: TOWER HEALTH MEDICAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
2	208600000X	Surgery Physician
3	207PE0005X	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
4	2086S0122X	Plastic and Reconstructive Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	072790	OTHER	PA	MEDICARE PTAN

General Provider Information

NPI Number	:	1093088981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWER HEALTH MEDICAL GROUP

Provider Business Mailing Address
First Line	:	PO BOX 13579
Second Line	:
City	:	READING
State	:	PA
Zip	:	19612-3579
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2603 KEISER BLVD
Second Line	:	SUITE 204
City	:	WYOMISSING
State	:	PA
Zip	:	19610-3356
Country	:	US
Telephone Number	:	484-628-3939
Fax Number	:	484-628-3940

Authorized Official
Title or Position	:	VP OF REVENUE INTEGRITY
Name	:	CHARLES MICHAEL VALENTINO JR.
Credential	:
Telephone Number	:	484-628-9380

Provider Enumeration Date	:	02/23/2012
Last Update Date	:	06/03/2026

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