Organization
HERITAGE VALLEY MEDICAL GROUP, INC
Active
Organization
HERITAGE VALLEY MEDICAL GROUP, INC
Active
Other names
HVMG Ratnakar S. Shetty M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN F. MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
1307 6TH AVE, NEW BRIGHTON, PA 15066-2129
(724) 847-2870
Mailing address
1307 6TH AVE, NEW BRIGHTON, PA 15066-2129
(724) 847-2870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015654460023
—
PA
05
—
0202677
—
OH
Enumeration date
10/15/2008
Last updated
06/29/2012
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