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
1	207R00000X	Internal Medicine Physician		PA

General Provider Information

NPI Number	:	1558680421
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	:	215-946-5846

Provider Business Practice Location Address
First Line	:	50 SERPENTINE LN
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19055-2213
Country	:	US
Telephone Number	:	215-946-4410
Fax Number	:	215-946-5846

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUSAN ABRAHAM
Credential	:
Telephone Number	:	215-612-4823

Provider Enumeration Date	:	05/18/2010
Last Update Date	:	05/18/2010

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