Organization · Type 2 NPI

Tower Drexel Academic Medical Group LLC

Sports Medicine (Family Medicine) Physician · Philadelphia, PA

NPI number 1306479829 Active

Practice location

10 Shurs Ln Ste 206
Philadelphia, PA 19127-2123

Call (215) 482-1234 Map

Fax (215) 482-0465

Mailing address

PO Box 13579
Reading, PA 19612-3579

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	None listed

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

2 other providers at this address

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NPI record

NPI: 1306479829
Entity type: Organization (Type 2)
Issued: Feb 13, 2020
Last updated: Jun 2, 2026
Status: Active

Other names

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Sports Medicine Tower Health Medical Group Manayunk · doing business as
Sports Medicine Tower Health Medical Group Manayunk · doing business as

Authorized official

Charles Michael Valentino
VP of Revenue Integrity
(484) 628-9380

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About NPI 1306479829

Tower Drexel Academic Medical Group LLC's National Provider Identifier is 1306479829, issued on Feb 13, 2020. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 2, 2026.