Healthcare Provider Details

I. General information

NPI: 1942666714
Provider Name (Legal Business Name): ARIA HEALTH PHYSICIAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2016
Last Update Date: 10/12/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 FROSTY HOLLOW RD
LEVITTOWN PA
19056-2404
US

IV. Provider business mailing address

PO BOX 825395
PHILADELPHIA PA
19182-5395
US

V. Phone/Fax

Practice location:
  • Phone: 215-949-6622
  • Fax: 215-949-8357
Mailing address:
  • Phone: 215-807-8000
  • Fax: 215-807-8099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: MR. RON KUMOR
Title or Position: CEO-PRESIDENT AHPS
Credential:
Phone: 215-612-4858