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Organization

HERITAGE VALLEY MEDICAL GROUP, INC.

Active
Other names
Tri State Medical Group, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
NORMAN F. MITRY (PRESIDENT AND CEO)
(724) 773-4776
Entity
Organization

Contact information

Practice address
1200 SHARON RD, SUITE 200, BEAVER, PA 15009-3148
(724) 774-5030
(724) 774-5040
Mailing address
2 PEARTREE WAY, TRI-STATE MEDICAL GROUP INC, BEAVER, PA 15009
(724) 728-4171
(724) 728-2019

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
020430
PA

Other

Enumeration date
01/08/2008
Last updated
05/14/2012
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