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Organization

HERITAGE VALLEY MEDICAL GROUP, INC.

Active
Other names
Heritage Valley Convenient Care
Organization subpart
No

Provider details

NPI number
Authorized official
NORMAN F MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization

Contact information

Practice address
271 STATE ROUTE 288, ELLWOOD CITY, PA 16117-3055
(724) 773-4681
Mailing address
271 STATE ROUTE 288, ELLWOOD CITY, PA 16117-3055
(724) 773-4681

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015654460023
PA
Enumeration date
02/18/2016
Last updated
02/18/2016
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