Organization
HERITAGE VALLEY MEDICAL GROUP, INC.
Active
Other names
HVMG Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN F MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
111 HAZEL LN, SUITE 300, SEWICKLEY, PA 15143-1253
(412) 749-7330
(412) 749-7339
Mailing address
200 OHIO RIVER BLVD, BADEN, PA 15005-1914
(724) 773-6802
(724) 770-7919
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015654460023
—
PA
Enumeration date
05/11/2017
Last updated
05/11/2017
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