Organization
HERITAGE VALLEY MEDICAL GROUP, INC
Active
Other names
HVMG Wound Care Sharma
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN F MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 775-9170
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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