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Organization
TRI-STATE RADIOLOGY, P.C.
Active
Organization
TRI-STATE RADIOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW H. SHAER M.D. (CHAIRMAN)
(215) 284-9505
Entity
Organization
Contact information
Practice address
160 E MAIN ST, RADIOLOGY DEPARTMENT, PORT JERVIS, NY 12771-2253
(845) 858-7050
Mailing address
1001 BRIGGS RD, SUITE 210, MOUNT LAUREL, NJ 08054-4100
(856) 231-4774
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
NULL
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
NULL
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
NULL
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
09/11/2025
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