Healthcare Provider Details

I. General information

NPI: 1265810162
Provider Name (Legal Business Name): ARIA HEALTH PHYSICIAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2015
Last Update Date: 10/12/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 OXFORD VALLEY RD MAKEFIELD EXECUTIVE QUARTERS - SUITE 1000
YARDLEY PA
19067-7706
US

IV. Provider business mailing address

PO BOX 825395
PHILADELPHIA PA
19182-5395
US

V. Phone/Fax

Practice location:
  • Phone: 267-397-5000
  • Fax: 267-503-0122
Mailing address:
  • Phone: 215-481-6836
  • Fax: 215-481-6836

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: RONALD KUMOR
Title or Position: CEO PRESIDENT AHPS
Credential:
Phone: 215-612-4858