Heritage Valley Medical Group, Icn

NPI #1093171183 in Beaver, Pennsylvania

Provider Information

NPI Number: 1093171183
Entity Type: Organization
Organization Name: Heritage Valley Medical Group, Icn
Primary Specialty: Urology
Enumeration Date: Jan 6, 2016
Last Updated: Jan 6, 2016

Practice Location

Address: 2 PEARTREE WAY
City: Beaver
State: Pennsylvania
ZIP Code: 15009-1954
Phone: (724) 773-6802

Authorized Official

Name: MR. NORMAN F MITRY
Title: PRESIDENT & CEO
Phone: (724) 773-4776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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