National Provider Identifier Database

HERITAGE VALLEY MEDICAL GROUP INC
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

HERITAGE VALLEY MEDICAL GROUP, INC.
111 HAZEL LANE, SUITE 100
EDGEWORTH SQUARE
SEWICKLEY, PA15143
Phone: 412-741-8862
Fax:
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for HERITAGE VALLEY MEDICAL GROUP, INC.

NPI Number 1356593933
Legal business name
LBN
HERITAGE VALLEY MEDICAL GROUP, INC.
Authorized official NORMAN MITRY - (PRESIDENT & CEO)
Entity Organization
Organization subpart No
Enumeration date 10/15/2008
Last updated 06/29/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • OH Medicaid: 2297465
  • PA Medicaid: 0014950830029

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for HERITAGE VALLEY MEDICAL GROUP, INC.

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