Healthcare Provider Details

I. General information

NPI: 1508097882
Provider Name (Legal Business Name): ARIA HEALTH PHYSICIAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2009
Last Update Date: 11/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 BENSALEM BLVD
BENSALEM PA
19020-4043
US

IV. Provider business mailing address

PO BOX 8500-6335
PHILADELPHIA PA
19178-0001
US

V. Phone/Fax

Practice location:
  • Phone: 215-638-4340
  • Fax: 215-633-9710
Mailing address:
  • Phone: 215-807-8000
  • Fax: 215-633-9710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: SUSAN ABRAHAM
Title or Position: PRESIDENT
Credential:
Phone: 215-612-4823