NPI | 1346872116 |
---|---|
Doing Business As | SPORTS MEDICINE TOWER HEALTH MEDICAL GROUP BROAD STREET |
Entity Type | Organization |
Authorized Contact | ROBERT EHINGER Sr VP Financial Operations 484-628-4681 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Enumeration Date | 2020-02-10 |
Last Update Date | 2021-11-26 |