Organization
HERITAGE VALLEY MEDICAL GROUP, INC
Active
Other names
HVMG Internal Medicine Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
1155 MERCHANT ST, AMBRIDGE, PA 15003-2375
(724) 266-0707
(724) 266-3978
Mailing address
1155 MERCHANT ST, AMBRIDGE, PA 15003-2375
(724) 266-0707
(724) 266-3978
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014950830029
—
PA
05
—
2297465
—
OH
Enumeration date
10/15/2008
Last updated
06/29/2012
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