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	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	379886	OTHER	PA	HIGHMARK BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1024563	OTHER	PA	KEYSTONE MERCY
6	379886	OTHER	PA	PERSONAL CHOICE
7	0179761007	OTHER	PA	KEYSTONE,IBC
8	03315	OTHER	PA	HEALTH PARTNERS
9	301	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1912033093
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIA HEALTH PHYSICIAN SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 8500-6335
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-0001
Country	:	US
Telephone Number	:	215-807-8000
Fax Number	:	215-969-3775

Provider Business Practice Location Address
First Line	:	2451 GRANT AVE
Second Line	:	SUITE 1A
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1004
Country	:	US
Telephone Number	:	215-969-1500
Fax Number	:	215-969-3775

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUSAN ABRAHAM
Credential	:
Telephone Number	:	215-612-4823

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	06/28/2010

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Directions to “ARIA HEALTH PHYSICIAN SERVICES ” Practice Location

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