# TRI STATE OBSTETRICS & GYNECOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Valley OB/GYN, Heritage Valley Generations OB/GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568419281
- **Authorized official:** NORMAN F MITRY (PRESIDENT AND CEO)
- **Authorized official phone:** (724) 773-4776

## Contact information

- **Practice address:** 2580 CONSTITUTION BLVD, BEAVER FALLS, PA 15010-1294
- **Practice address phone:** (724) 843-0737
- **Practice address fax:** (724) 770-7922
- **Mailing address:** 2 PEARTREE WAY, BEAVER, PA 15009-1954
- **Mailing address phone:** (724) 773-6802
- **Mailing address fax:** (724) 770-7919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 07/08/2024