| NPI | 1205479904 |
|---|---|
| Doing Business As | FAMILY MEDICINE TOWER HEALTH MEDICAL GROUP BROAD STREET |
| Entity Type | Organization |
| Authorized Contact | GARY CONNER VP & CFO 484-628-1324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2020-10-21 |