Organization
TRI-STATE ORTHOPAEDICS & SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR J. THOMAS (MANAGING PHYSICIAN)
(412) 369-4000
Entity
Organization
Contact information
Practice address
5900 CORPORATE DR, SUITE 200, PITTSBURGH, PA 15237-7005
(412) 369-4000
(412) 369-7667
Mailing address
5900 CORPORATE DR, SUITE 200, PITTSBURGH, PA 15237-7005
(412) 369-4000
(412) 369-7667
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139618
HIGHMARK GROUP NUMBER
PA
Enumeration date
07/11/2006
Last updated
02/12/2021
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