Organization
HERITAGE VALLEY MEDICAL GROUP, INC.
Active
Other names
HVMG Vein Center
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
(888) 844-8346
Mailing address
605 SHARON RD, BEAVER, PA 15009-1919
(888) 844-8346
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015654460023
—
PA
05
—
0202677
—
OH
Enumeration date
10/15/2008
Last updated
06/29/2012
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