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Organization
TRI-STATE MEDICAL GROUP, INC.
Active
Organization
TRI-STATE MEDICAL GROUP, INC.
Active
Parent organization
TRI-STATE MEDICAL GROUP, INC.
Other names
TSMG Business Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-STATE MEDICAL GROUP, INC.
Authorized official
NORMAN F. MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
5000 INDUSTRIAL BLVD, ALIQUIPPA, PA 15001-4874
(724) 857-4004
Mailing address
5000 INDUSTRIAL BLVD, ALIQUIPPA, PA 15001-4874
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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