| Heritage Valley Medical Group, Inc. | |
|
1000 Dutch Ridge Rd 1st Floor Beaver PA 15009-9727 | |
| (724) 773-4776 | |
| (724) 773-4726 |
| Full Name | Heritage Valley Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1000 Dutch Ridge Rd, Beaver, Pennsylvania |
| Authorized Official Name and Position | Norman F Mitry (PRESIDENT & CEO) |
| Authorized Official Contact | 7247734776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Valley Medical Group, Inc. 1000 Dutch Ridge Rd 1st Floor Beaver PA 15009-9727 Ph: (724) 773-4776 | Heritage Valley Medical Group, Inc. 1000 Dutch Ridge Rd 1st Floor Beaver PA 15009-9727 Ph: (724) 773-4776 |
| NPI Number | 1982054490 |
|---|---|
| Provider Enumeration Date | 06/15/2016 |
| Last Update Date | 06/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982054490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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