Organization
TRI-STATE PULMONARY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN J ORR (PRACTICE MANAGER/ADMINISTRATOR)
(513) 241-5489
Entity
Organization
Contact information
Practice address
2123 AUBURN AVE, SUITE 401, CINCINNATI, OH 45219-2906
(513) 241-5489
(513) 241-9206
Mailing address
2123 AUBURN AVE, SUITE 401, CINCINNATI, OH 45219-2906
(513) 241-5489
(513) 241-9206
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107913
—
OH
05
—
200102160A
—
IN
05
—
65928566
—
KY
Enumeration date
06/22/2006
Last updated
08/23/2011
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