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Organization
HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
Active
Organization
HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
Active
Parent organization
HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
Other names
HVMG Park Manor Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
Authorized official
MR. NORMAN F MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
2201 PARK MANOR BLVD, PITTSBURGH, PA 15205-4819
(412) 749-6920
(412) 749-6779
Mailing address
2201 PARK MANOR BLVD, PITTSBURGH, PA 15205-4819
(412) 749-6920
(412) 749-6779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015654460117
—
PA
Enumeration date
03/17/2022
Last updated
03/17/2022
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