| Heritage Valley Medical Group, Inc. | |
|
525 Locust Pl Sewickley PA 15143-1503 | |
| (412) 741-4044 | |
| (412) 741-6820 |
| Full Name | Heritage Valley Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 525 Locust Pl, Sewickley, 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. 525 Locust Pl Sewickley PA 15143-1503 Ph: (412) 741-4044 | Heritage Valley Medical Group, Inc. 525 Locust Pl Sewickley PA 15143-1503 Ph: (412) 741-4044 |
| NPI Number | 1578715157 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 06/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578715157 | NPI | - | NPPES |
| 2297465 | Medicaid | OH | |
| 0014950830029 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Heritage Valley Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Blackburn Rd, First Floor, Sewickley, PA 15143 Phone: 412-741-0985 | |
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