Organization
TRISTAN RADIOLOGY SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL DELOIA JR. (CEO)
(717) 652-6105
Entity
Organization
Contact information
Practice address
4518 UNION DEPOSIT RD, HARRISBURG, PA 17111-2921
(717) 652-5840
(717) 652-8152
Mailing address
4520 UNION DEPOSIT RD, HARRISBURG, PA 17111-2910
(717) 652-6105
(717) 652-2165
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026722000001
—
PA
Enumeration date
12/16/2011
Last updated
03/02/2012
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