Organization
HERITAGE VALLEY MEDICAL GROUP INC.
Active
Parent organization
HERITAGE VALLEY MEDICAL GROUP INC.
Other names
HVMG Infectious Disease
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE VALLEY MEDICAL GROUP INC.
Authorized official
NORMAN F MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-4776
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015654460023
—
PA
Enumeration date
03/07/2018
Last updated
03/17/2018
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