| Sports Medicine - Tower Health Medical Group | |
|
1350 Broadcasting Rd Ste 201 Wyomissing PA 19610-3229 | |
| (610) 685-9600 | |
| (610) 685-6700 |
| Full Name | Sports Medicine - Tower Health Medical Group |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 1350 Broadcasting Rd Ste 201, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Gary Conner (SENIOR VP & CFO) |
| Authorized Official Contact | 4846288181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sports Medicine - Tower Health Medical Group Po Box 13579 Reading PA 19612-3579 Ph: () - | Sports Medicine - Tower Health Medical Group 1350 Broadcasting Rd Ste 201 Wyomissing PA 19610-3229 Ph: (610) 685-9600 |
| NPI Number | 1891036166 |
|---|---|
| Provider Enumeration Date | 03/11/2013 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891036166 | NPI | - | NPPES |
| 072790 | Other | PA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Secondary |
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