Healthcare Provider Details

I. General information

NPI: 1598893893
Provider Name (Legal Business Name): ARIA HEALTH PHYSICIAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 11/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3998 RED LION RD NURSE PRACTITIONERS - ER
PHILADELPHIA PA
19178-0001
US

IV. Provider business mailing address

PO BOX 8500-6335
PHILADELPHIA PA
19178-0001
US

V. Phone/Fax

Practice location:
  • Phone: 215-612-4963
  • Fax: 215-612-4532
Mailing address:
  • Phone: 215-807-8000
  • Fax: 215-612-4532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MARY M. FINN
Title or Position: VP OF FINANCE
Credential:
Phone: 215-710-3757