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Organization
ARIA HEALTH PHYSICIAN SERVICES - JUNIATA
Active
Organization
ARIA HEALTH PHYSICIAN SERVICES - JUNIATA
Active
Other names
Juniata Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KUMOR (SENIOR VICE PRESIDENT)
(215) 612-4858
Entity
Organization
Contact information
Practice address
1139 E LUZERNE ST, PHILADELPHIA, PA 19124-5234
(215) 537-5094
(215) 537-5096
Mailing address
PO BOX 825395, PHILADELPHIA, PA 19182-5395
(215) 807-8000
(215) 537-5096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0422923001
KEYSTONE, IBC
PA
05
—
1007526250039
—
PA
05
—
1007526250041
—
PA
05
—
1007526250051
—
PA
01
—
1022049
KEYSTONE MERCY
PA
01
—
11055
HEALTH PARTNERS
PA
01
—
2010
AETNA
PA
01
—
381501
PERSONAL CHOICE
PA
Enumeration date
02/22/2007
Last updated
10/12/2022
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