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Organization

TRI-STATE MEDICAL GROUP, INC.

Active
Parent organization
TRI-STATE MEDICAL GROUP, INC.
Other names
TSMG Business Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRI-STATE MEDICAL GROUP, INC.
Authorized official
NORMAN F. MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization

Contact information

Practice address
5000 INDUSTRIAL BLVD, ALIQUIPPA, PA 15001-4874
(724) 857-4004
Mailing address
5000 INDUSTRIAL BLVD, ALIQUIPPA, PA 15001-4874

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015654460023
PA
05
0202677
OH
Enumeration date
10/10/2008
Last updated
10/10/2008
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