Organization
HERITAGE VALLEY MULTISPECIALTY GROUP, INC
Active
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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