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	163WE0003X	Emergency Registered Nurse

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	381505	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1598893893
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	:	215-612-4532

Provider Business Practice Location Address
First Line	:	3998 RED LION RD
Second Line	:	NURSE PRACTITIONERS - ER
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-0001
Country	:	US
Telephone Number	:	215-612-4963
Fax Number	:	215-612-4532

Authorized Official
Title or Position	:	VP OF FINANCE
Name	:	MARY M. FINN
Credential	:
Telephone Number	:	215-710-3757

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	11/03/2014

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Directions to “ARIA HEALTH PHYSICIAN SERVICES ” Practice Location

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