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
2808 OLD POST RD, HARRISBURG, PA 17110
(717) 901-6800
(717) 901-6699
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
—
0006719450013
—
PA
01
—
CA9270
RAILROAD MEDICARE
PA
Enumeration date
12/20/2005
Last updated
01/31/2008
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