Organization
HERITAGE VALLEY MEDICAL GROUP, INC.
Active
Parent organization
HERITAGE VALLEY MEDICAL GROUP, INC.
Other names
HVMG Primary Care - Crafton
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE VALLEY MEDICAL GROUP, INC.
Authorized official
BRYAN J RANDALL (VICE PRESIDENT & CFO)
(412) 749-7027
Entity
Organization
Contact information
Practice address
100 FOSTER AVE STE B, PITTSBURGH, PA 15205-2317
(412) 262-4694
Mailing address
100 FOSTER AVE STE B, PITTSBURGH, PA 15205-2317
(412) 262-4694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001565446
—
PA
Enumeration date
06/25/2019
Last updated
06/25/2019
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