# HERITAGE MEDICAL GROUP LLP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HERITAGE MEDICAL GROUP LLP
- **Other names:** Heritage Hospitalist Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104935121
- **Legal business name:** HERITAGE MEDICAL GROUP LLP
- **Authorized official:** DR. JOSEPH A CINCOTTA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (717) 761-0208

## Contact information

- **Practice address:** 3 WALNUT STREET, SUITE 206, LEMOYNE, PA 17043-1169
- **Practice address phone:** (717) 761-0208
- **Practice address fax:** (717) 761-2023
- **Mailing address:** 3 WALNUT STREET, SUITE 206, LEMOYNE, PA 17043-1169
- **Mailing address phone:** (717) 761-0208
- **Mailing address fax:** (717) 761-2023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 09/03/2008