Organization Name: | TOWERS HEALTH NETWORK INC. |
NPI Number: | 1235324393 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BEZARELI M BANADDA (PHYSICIAN) |
Mailing Address: | 770 E Providence Rd Suite 112 Aldan |
State: | PA US |
Postal Code: | 190184318 |
Phone Number: | 6106264400 |
Fax Number: | 6102845051 |
NPI Enumeration Date: | 09/12/2007 |
NPI Last Update Date: | 07/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |