NPI | 1720504905 |
---|---|
Doing Business As | TRI-STATE PHYSICIANS INC |
Entity Type | Organization |
Authorized Contact | SAIRA PERWAIZ SHAH Medical Director 302-290-6095 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE CI-0011974) |
Enumeration Date | 2017-08-18 |
Last Update Date | 2017-08-18 |