Organization
HERITAGE VALLEY MEDICAL GROUP, INC.
Active
Parent organization
HERITAGE VALLEY MEDICAL GROUP, INC.
Other names
HVMG Neurosurgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE VALLEY MEDICAL GROUP, INC.
Authorized official
MR. NORMAN F MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-6450
(724) 773-6449
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-6450
(724) 773-6449
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015654460023
—
PA
Enumeration date
10/26/2017
Last updated
03/17/2018
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