| Psychiatry Tower Health Medical Group Wissahickon Avenue | |
|
4700 Wissahickon Ave Ste C102 Philadelphia PA 19144-4248 | |
| (610) 743-6049 | |
| Not Available |
| Full Name | Psychiatry Tower Health Medical Group Wissahickon Avenue |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4700 Wissahickon Ave Ste C102, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Gary Conner (VP & CFO) |
| Authorized Official Contact | 4846281324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Tower Health Medical Group Wissahickon Avenue Po Box 13579 Reading PA 19612-3579 Ph: () - | Psychiatry Tower Health Medical Group Wissahickon Avenue 4700 Wissahickon Ave Ste C102 Philadelphia PA 19144-4248 Ph: (610) 743-6049 |
| NPI Number | 1003459702 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 10/21/2020 |
| Certification Date | 10/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003459702 | NPI | - | NPPES |
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