Provider Demographics
NPI:1225301120
Name:TRI-COUNTY HEALTH CONNECTIONS PC
Entity Type:Organization
Organization Name:TRI-COUNTY HEALTH CONNECTIONS PC
Other - Org Name:DILISI FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:T
Authorized Official - Last Name:FERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-845-0100
Mailing Address - Street 1:402 LIPPINCOTT DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4112
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:856-504-8029
Practice Address - Street 1:110 N WOODBURY RD
Practice Address - Street 2:
Practice Address - City:PITMAN
Practice Address - State:NJ
Practice Address - Zip Code:08071-1261
Practice Address - Country:US
Practice Address - Phone:856-589-1212
Practice Address - Fax:856-589-6635
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRI-COUNTY HEALTH CONNECTIONS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-23
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty