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Organization

TRISTAN ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL DELOIA JR. (CEO TRISTAN ASSOCIATES)
(717) 652-6105
Entity
Organization

Contact information

Practice address
2 JENNIFER COURT, STE A, CARLISLE, PA 17013
(717) 254-2000
(717) 254-2020
Mailing address
4520 UNION DEPOSIT RD, HARRISBURG, PA 17111
(717) 652-6105
(717) 652-2165

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006719450013
PA
01
CA9270
RAILROAD MEDICARE
PA
Enumeration date
04/28/2006
Last updated
01/31/2008
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