# TRI-STATE MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRI-STATE MEDICAL GROUP, INC.
- **Other names:** TSMG Business Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871745620
- **Legal business name:** TRI-STATE MEDICAL GROUP, INC.
- **Authorized official:** NORMAN F. MITRY (PRESIDENT & CEO)
- **Authorized official phone:** (724) 773-4776

## Contact information

- **Practice address:** 5000 INDUSTRIAL BLVD, ALIQUIPPA, PA 15001-4874
- **Practice address phone:** (724) 857-4004
- **Mailing address:** 5000 INDUSTRIAL BLVD, ALIQUIPPA, PA 15001-4874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2008
- **Last updated:** 10/10/2008