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NPI Code Detail

MEDICARE: ARIA HEALTH PHYSICIAN SERVICES

MEDICARE: ARIA HEALTH PHYSICIAN SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianPA

General Provider Information

NPI Number : 1134436231
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIA HEALTH PHYSICIAN SERVICES
Provider Business Mailing Address
First Line : PO BOX 8500-6335
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-0001
Country : US
Telephone Number : 215-807-8000
Fax Number : 215-807-8235
Provider Business Practice Location Address
First Line : 11726 BUSTLETON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19116-2516
Country : US
Telephone Number : 215-677-0501
Fax Number : 215-673-0409
Authorized Official
Title or Position : VP OF FINANCE
Name : MARY M. FINN
Credential :
Telephone Number : 215-710-3757
Provider Enumeration Date : 09/10/2010
Last Update Date : 03/13/2015

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Directions to “ARIA HEALTH PHYSICIAN SERVICES ” Practice Location

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