Organization
HERITAGE VALLEY MEDICAL GROUP, INC
Active
Organization
HERITAGE VALLEY MEDICAL GROUP, INC
Active
Other names
Heritage Valley Pulmonary Sewickley
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN F MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
720 BLACKBURN RD, FIRST FLOOR, SEWICKLEY, PA 15143-1459
(412) 749-7537
(412) 749-7354
Mailing address
720 BLACKBURN RD, FIRST FLOOR, SEWICKLEY, PA 15143-1459
(412) 749-7537
(412) 749-7354
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD049161L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014950830029
—
PA
Enumeration date
05/20/2011
Last updated
05/13/2014
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