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Organization

TRI STATE OBSTETRICS & GYNECOLOGY

Active
Other names
Heritage Valley OB/GYN, Heritage Valley Generations OB/GYN
Organization subpart
No

Provider details

NPI number
Authorized official
NORMAN F MITRY (PRESIDENT AND CEO)
(724) 773-4776
Entity
Organization

Contact information

Practice address
2580 CONSTITUTION BLVD, BEAVER FALLS, PA 15010-1294
(724) 843-0737
(724) 770-7922
Mailing address
2 PEARTREE WAY, BEAVER, PA 15009-1954
(724) 773-6802
(724) 770-7919

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207VG0400X
Gynecology Physician
207VX0000X
Obstetrics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015486320010
PA
Enumeration date
05/28/2006
Last updated
07/08/2024
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