Organization
HERITAGE VALLEY MEDICAL GROUP, INC.
Active
Other names
HVMG Baden Area Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN F. MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
210 OHIO RIVER BLVD, BADEN, PA 15005-1914
(724) 869-6002
(724) 869-6005
Mailing address
210 OHIO RIVER BLVD, BADEN, PA 15005-1914
(724) 869-6002
(724) 869-6005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014950830029
—
PA
Enumeration date
10/09/2008
Last updated
06/29/2012
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