Healthcare Provider Details

I. General information

NPI: 1982196036
Provider Name (Legal Business Name): ARIA HEALTH PHYSICIAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2018
Last Update Date: 08/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 N OXFORD VALLEY ROAD
LANGHORNE PA
19047
US

IV. Provider business mailing address

2500 MARYLAND RD STE 400
WILLOW GROVE PA
19090-1225
US

V. Phone/Fax

Practice location:
  • Phone: 215-269-6700
  • Fax:
Mailing address:
  • Phone: 215-481-6873
  • Fax: 215-481-3985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: RONALD KUMOR
Title or Position: PRESIDENT
Credential:
Phone: 215-612-4888