Organization
TRI STATE OBSTETRICS & GYNECOLOGY
Active
Parent organization
TRI STATE OBSTETRICS & GYNECOLOGY
Other names
Generations OB/GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI STATE OBSTETRICS & GYNECOLOGY
Authorized official
MR. NORMAN F MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
3468 BRODHEAD RD STE 12, MONACA, PA 15061-3149
(724) 728-3575
(724) 770-7964
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-4776
(724) 773-4726
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001548632
—
PA
Enumeration date
06/15/2018
Last updated
07/01/2022
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