Tri-State Pediatric Associates, INC

NPI #1275872038 in Calcutta, Ohio

Provider Information

NPI Number: 1275872038
Entity Type: Organization
Organization Name: Tri-State Pediatric Associates, INC
Primary Specialty: Pediatrics
Enumeration Date: Feb 13, 2013
Last Updated: Feb 13, 2013

Practice Location

Address: 15700 STATE STREET
Address 2: ROUTE 170
City: Calcutta
State: Ohio
ZIP Code: 43920
Phone: (330) 385-1412

Authorized Official

Name: NORMAN F MITRY
Title: PRESIDENT & CEO
Phone: (724) 773-4776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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