MEDICARE: ARIA HEALTH PHYSICIAN SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician		PA
2	208600000X	Surgery Physician		PA

General Provider Information

NPI Number	:	1336515956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIA HEALTH PHYSICIAN SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 825395
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-5395
Country	:	US
Telephone Number	:	215-331-7001
Fax Number	:	215-331-7004

Provider Business Practice Location Address
First Line	:	9501 ROOSEVELT BLVD STE 312
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1028
Country	:	US
Telephone Number	:	215-331-7001
Fax Number	:	215-331-7004

Authorized Official
Title or Position	:	CEO PRESIDENT AHPS
Name	:	RONALD KUMOR
Credential	:
Telephone Number	:	215-612-4858

Provider Enumeration Date	:	08/18/2015
Last Update Date	:	10/12/2022

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Directions to “ARIA HEALTH PHYSICIAN SERVICES ” Practice Location

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