| Tri State Medical Assoc. P.c. | |
|
906 Pennsylvania Ave Matamoras PA 18336-1542 | |
| (579) 491-4164 | |
| (570) 491-5186 |
| Full Name | Tri State Medical Assoc. P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 906 Pennsylvania Ave, Matamoras, Pennsylvania |
| Authorized Official Name and Position | Jeffrey C Auerbach (TREASURER) |
| Authorized Official Contact | 5794914164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri State Medical Assoc. P.c. 906 Pennsylvania Ave Matamoras PA 18336-1542 Ph: (579) 491-4164 | Tri State Medical Assoc. P.c. 906 Pennsylvania Ave Matamoras PA 18336-1542 Ph: (579) 491-4164 |
| NPI Number | 1679503726 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 01/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679503726 | NPI | - | NPPES |
| 165007 | Other | PA | FIRST PRIORITY |
| CD3145 | Other | PA | RAIL ROAD MEDICARE |
| 37785 | Other | PA | PA BLUE SHIELD |
| 0064202000 | Other | PA | PERSONAL CHOICE |
| 117236 | Other | PA | MVP HEALTHCARE |
| 7001046 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OSOO4513LL (Pennsylvania) | Primary |
Colonial Intermediate Unit 20 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Avenue S, Matamoras, PA 18336 Phone: 610-515-6439 |