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Organization
TRISTATE ELDERCARE LLC
Active
Organization
TRISTATE ELDERCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY VANZANTEN MD (MEDICAL DIRECTOR)
(724) 981-1602
Entity
Organization
Contact information
Practice address
19 JEFFERSON AVE, SHARON, PA 16146-3342
(724) 981-1602
Mailing address
19 JEFFERSON AVE, SHARON, PA 16146-3342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1698533
BS
PA
Enumeration date
07/05/2006
Last updated
08/22/2020
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