Organization
HERITAGE VALLEY MEDICAL GROUP, INC.
Active
Other names
HVMG The Heart & Vascular Center Beaver
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN F. MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
605 SHARON RD, BEAVER, PA 15009-1919
(724) 728-3320
Mailing address
605 SHARON RD, BEAVER, PA 15009-1919
(724) 728-3320
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015654460023
—
PA
05
—
0101677
—
OH
Enumeration date
10/13/2008
Last updated
06/29/2012
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