MEDICARE: ARIA HEALTH PHYSICIAN SERVICES - CARDIOLOGY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	207R00000X	Internal Medicine Physician	PA
2	207RC0000X	Cardiovascular Disease Physician	PA
3	207U00000X	Nuclear Medicine Physician	PA
4	207UN0901X	Nuclear Cardiology Physician	PA
5	207RI0011X	Interventional Cardiology Physician	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2088350	OTHER	PA	HIGHMARK BLUE SHIELD
2	3693550000	OTHER	PA	KEYSTONE IBC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	68808771	OTHER	PA	AETNA HMO
5	1010005	OTHER	PA	KEYSTONE MERCY
6	9829349	OTHER	PA	AETNA PPO

General Provider Information

NPI Number	:	1770720260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIA HEALTH PHYSICIAN SERVICES - CARDIOLOGY

Provider Business Mailing Address
First Line	:	PO BOX 825395
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-5395
Country	:	US
Telephone Number	:	215-807-8000
Fax Number	:	215-807-8235

Provider Business Practice Location Address
First Line	:	10160 BUSTLETON AVE STE C
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19116-3749
Country	:	US
Telephone Number	:	215-671-3920
Fax Number	:	215-671-3939

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

Provider Enumeration Date	:	01/21/2009
Last Update Date	:	10/12/2022

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