# TRI STATE OBSTETRICS & GYNECOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRI STATE OBSTETRICS & GYNECOLOGY
- **Other names:** Generations OB/GYN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467946285
- **Legal business name:** TRI STATE OBSTETRICS & GYNECOLOGY
- **Authorized official:** MR. NORMAN F MITRY (PRESIDENT & CEO)
- **Authorized official phone:** (724) 773-4776

## Contact information

- **Practice address:** 3468 BRODHEAD RD STE 12, MONACA, PA 15061-3149
- **Practice address phone:** (724) 728-3575
- **Practice address fax:** (724) 770-7964
- **Mailing address:** 1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
- **Mailing address phone:** (724) 773-4776
- **Mailing address fax:** (724) 773-4726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2018
- **Last updated:** 07/01/2022