Organization
HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
Active
Organization
HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
Active
Other names
Tri State Medical Group Inc, Heritage Valley Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN F MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
500 SHARON RD, BEAVER, PA 15009-1957
(724) 728-8751
(724) 770-7927
Mailing address
2 PEARTREE WAY, BEAVER, PA 15009-1954
(724) 773-6802
(724) 770-7919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015654460023
—
PA
Enumeration date
05/27/2006
Last updated
07/08/2024
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