| Heritage Valley Multispecialty Group, Inc. | |
|
2201 Park Manor Blvd Pittsburgh PA 15205-4819 | |
| (412) 749-6920 | |
| (412) 749-6779 |
| Full Name | Heritage Valley Multispecialty Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2201 Park Manor Blvd, Pittsburgh, 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 Multispecialty Group, Inc. 2201 Park Manor Blvd Pittsburgh PA 15205-4819 Ph: (412) 749-6920 | Heritage Valley Multispecialty Group, Inc. 2201 Park Manor Blvd Pittsburgh PA 15205-4819 Ph: (412) 749-6920 |
| NPI Number | 1003564113 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 03/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003564113 | NPI | - | NPPES |
| 0015654460117 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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