Organization
HERITAGE VALLEY MULTISPECIALTY GROUP, INC
Active
Other names
Heritage Valley Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN F MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
1030 BEANER HOLLOW RD, BEAVER, PA 15009-9723
(724) 775-4242
Mailing address
2 PEARTREE WAY, BEAVER, PA 15009-1954
(724) 773-6802
(724) 770-7919
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015654460092
—
PA
05
—
0015654460093
—
PA
Enumeration date
10/18/2018
Last updated
07/08/2024
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