Organization
TRISTAN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL DELOIA JR. (CEO TRISTAN ASSOCIATES)
(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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0671945GRP
—
PA
01
—
718282
CIGNA MEDICARE ACCESS
PA
01
—
CA9270
RAILROAD MEDICARE
PA
Enumeration date
12/20/2005
Last updated
01/08/2010
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