NPI: 1003459702
Provider Name: TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Doing Business As: PSYCHIATRY TOWER HEALTH MEDICAL GROUP WISSAHICKON AVENUE
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
4700 WISSAHICKON AVE STE C102
PHILADELPHIA, PA
ZIP 19144
Phone: (610) 743-6049
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TOWER DREXEL ACADEMIC MEDICAL GROUP LLC is a mental health (including community mental health center) clinic center in Philadelphia, PA. TOWER DREXEL ACADEMIC MEDICAL GROUP LLC NPI is 1003459702. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Psychiatry Tower Health Medical Group Wissahickon Avenue.
The provider's business location address is:
4700 WISSAHICKON AVE STE C102
PHILADELPHIA, PA
ZIP 19144-248
Phone: (610) 743-6049
The provider's authorized official is Gary Conner .
The authorized official title is Vp & Cfo and has the following contact phone number (484) 628-1324.
The enumeration date for this NPI number is 10/25/2019 and was last updated on 10/21/2020.