Organization
TRISTATE HEALTH PARTNERS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY GRANT (DIRECTOR)
(240) 313-9949
Entity
Organization
Contact information
Practice address
10715 DOWNSVILLE PIKE, SUITE 103, HAGERSTOWN, MD 21740-7240
(240) 313-9940
(240) 313-9941
Mailing address
10715 DOWNSVILLE PIKE, SUITE 103, HAGERSTOWN, MD 21740-7240
(240) 313-9940
(240) 313-9941
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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