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NPI Code Detail

MEDICARE: TOWER HEALTH MEDICAL GROUP

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 License Number License Number State
1136A00000XRegistered Dietetic Technician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1072790OTHERPAMEDICARE ID

General Provider Information

NPI Number : 1255636205
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 : 1991 STATE HILL RD
Second Line :
City : WYOMISSING
State : PA
Zip : 19610-1648
Country : US
Telephone Number : 484-628-4270
Fax Number : 484-628-4261
Authorized Official
Title or Position : CFO
Name : BRIAN RAYME
Credential :
Telephone Number : 443-377-0616
Provider Enumeration Date : 01/24/2011
Last Update Date : 01/14/2026

Similar Medicare Providers

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Practice Location Address:
1991 STATE HILL RD
WYOMISSING, PA
19610-1648
Practice Phone: 484-628-4270
Practice Fax: 484-628-4261
1306927728 — ILAN GABRIELY MD
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1174653679 — SARAH CLAIR R.D.
Practice Location Address:
1991 STATE HILL RD
WYOMISSING, PA
19610-1648
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Practice Fax: 484-628-4261
1881724383 — KAREN FRANEY R.D.
Practice Location Address:
1991 STATE HILL RD
WYOMISSING, PA
19610-1648
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Practice Fax: 610-988-4261
1023148400 — CORINNE WERNICK R.D.
Practice Location Address:
1991 STATE HILL RD
WYOMISSING, PA
19610-1648
Practice Phone: 610-988-4270
Practice Fax: 610-988-4261

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