Organization
TRI-STATE PEDIATRIC ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN F MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
15700 STATE STREET, ROUTE 170, CALCUTTA, OH 43920
(330) 385-1412
(724) 774-2872
Mailing address
15700 STATE STREET, ROUTE 170, CALCUTTA, OH 43920
(330) 385-1412
(724) 774-2872
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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