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A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI Number | 1356593933 |
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| LBN Legal business name | HERITAGE VALLEY MEDICAL GROUP, INC. | ||||||||
| Authorized official | NORMAN MITRY - (PRESIDENT & CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/15/2008 | ||||||||
| Last updated | 06/29/2012 - About 14 years ago | ||||||||
| Identifiers |
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HERITAGE VALLEY MEDICAL GROUP, INC.
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HERITAGE VALLEY MEDICAL GROUP, INC.