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Organization
TRI STATE MEDICAL ASSOC. P.C.
Active
Organization
TRI STATE MEDICAL ASSOC. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY C AUERBACH D.O. (TREASURER)
(579) 491-4164
Entity
Organization
Contact information
Practice address
906 PENNSYLVANIA AVE, MATAMORAS, PA 18336-1542
(579) 491-4164
(570) 491-5186
Mailing address
906 PENNSYLVANIA AVE, MATAMORAS, PA 18336-1542
(579) 491-4164
(570) 491-5186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OSOO4513LL
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064202000
PERSONAL CHOICE
PA
01
—
117236
MVP HEALTHCARE
PA
01
—
165007
FIRST PRIORITY
PA
01
—
37785
PA BLUE SHIELD
PA
05
—
7001046
—
PA
01
—
CD3145
RAIL ROAD MEDICARE
PA
Enumeration date
07/04/2006
Last updated
01/10/2008
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