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Organization
TRI-STATE MEDICAL GROUP, INC.
Active
Organization
TRI-STATE MEDICAL GROUP, INC.
Active
Parent organization
HERITAGE VALLEY PRIMARY CARE-CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE VALLEY PRIMARY CARE-CENTER
Authorized official
NORMAN F MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
3468 BRODHEAD RD, MONACA, PA 15061-3149
(724) 857-0591
Mailing address
3468 BRODHEAD RD, MONACA, PA 15061-3149
(724) 857-0591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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