| Heritage Valley Multispecialty Group, Inc. | |
|
100 Hazel Ln Ste 100 Sewickley PA 15143-1249 | |
| (412) 749-4240 | |
| (412) 749-6822 |
| Full Name | Heritage Valley Multispecialty Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Hazel Ln Ste 100, 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 Multispecialty Group, Inc. 100 Hazel Ln Ste 100 Sewickley PA 15143-1249 Ph: (412) 749-4240 | Heritage Valley Multispecialty Group, Inc. 100 Hazel Ln Ste 100 Sewickley PA 15143-1249 Ph: (412) 749-4240 |
| NPI Number | 1093325755 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 08/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093325755 | NPI | - | NPPES |
| 0015654460108 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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