Organization
TRI-STATE CLINICAL RESEARCH TRIALS, LLC
Active
Other names
Tri-State Clinical Research Trials
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD OGON MD (MEDICAL DIRECTOR)
(773) 983-2866
Entity
Organization
Contact information
Practice address
1303 VETERANS HWY, BRISTOL, PA 19007-2514
(215) 458-7114
(215) 458-7994
Mailing address
1303 VETERANS HWY, BRISTOL, PA 19007-2514
(215) 458-7114
(215) 458-7994
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028959680001
—
PA
Enumeration date
10/23/2018
Last updated
10/23/2018
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