Organization
HERITAGE VALLEY MEDICAL GROUP, INC.
Active
Parent organization
HERITAGE VALLEY MEDICAL GROUP, INC.
Other names
HVMG Orthopedics
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
1030 BEANER HOLLOW RD, BEAVER, PA 15009-9723
(724) 775-4242
(724) 775-4960
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-4776
(724) 773-4726
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
—
0015654460023
—
PA
Enumeration date
11/06/2018
Last updated
11/06/2018
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