| Psychiatry Tower Health Medical Group Race Street | |
|
1513 Race St Philadelphia PA 19102-1125 | |
| (610) 734-6049 | |
| Not Available |
| Full Name | Psychiatry Tower Health Medical Group Race Street |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1513 Race St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Charles Michael Valentino (VP OF REVENUE INTEGRITY) |
| Authorized Official Contact | 4846289380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Tower Health Medical Group Race Street Po Box 13579 Reading PA 19612-3579 | Psychiatry Tower Health Medical Group Race Street 1513 Race St Philadelphia PA 19102-1125 Ph: (610) 734-6049 |
| NPI Number | 1386281608 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 06/02/2026 |
| Certification Date | 06/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386281608 | NPI | - | NPPES |
| 1017628220009 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
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