Organization
HERITAGE VALLEY MEDICAL GROUP INC
Active
Parent organization
MEDVANTX, INC
Other names
HVMG Internal Medicine Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
100 HAZEL LN, SEWICKLEY, PA 15143-1249
(724) 266-0707
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD062061L
PA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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