| Hvmg Infectious Disease | |
|
1000 Dutch Ridge Rd Beaver PA 15009-9727 | |
| (724) 773-4776 | |
| Not Available |
| Full Name | Hvmg Infectious Disease |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| 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 |
|---|---|
| Hvmg Infectious Disease 1000 Dutch Ridge Rd Beaver PA 15009-9727 Ph: () - | Hvmg Infectious Disease 1000 Dutch Ridge Rd Beaver PA 15009-9727 Ph: (724) 773-4776 |
| NPI Number | 1881196723 |
|---|---|
| Provider Enumeration Date | 03/07/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881196723 | NPI | - | NPPES |
| 0015654460023 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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