Organization
HERITAGE VALLEY MEDICAL GROUP, INC.
Active
Other names
HVMG Surgical Associates Sewickely
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN F. MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
111 HAZEL LANE, SUITE 100, EDGEWORTH SQUARE, SEWICKELY, PA 15143
(412) 741-8862
Mailing address
111 HAZEL LANE, SUITE 100, EDGEWORTH SQUARE, SEWICKELY, PA 15143
(412) 741-8862
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014950830029
—
PA
05
—
2297465
—
OH
Enumeration date
10/15/2008
Last updated
06/29/2012
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