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Organization
ARIA HEALTH PHYSICIAN SERVICES
Active
Organization
ARIA HEALTH PHYSICIAN SERVICES
Active
Other names
Morrell Park Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KUMOR (CEO APS)
(215) 612-4858
Entity
Organization
Contact information
Practice address
10101 ACADEMY RD, SUITE 104, PHILADELPHIA, PA 19114-1120
(215) 632-4000
(215) 632-1661
Mailing address
PO BOX 825395, PHILADELPHIA, PA 19182-5395
(215) 807-8000
(215) 632-1661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
207R00000X
Internal Medicine Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015464001
KEYSTONE, IBC
PA
05
—
1007526250039
—
PA
05
—
1007526250041
—
PA
05
—
1007526250051
—
PA
01
—
1025866
KEYSTONE MERCY
PA
01
—
179943
HIGHMARK BLUE SHIELD
PA
01
—
18036
AETNA
PA
01
—
18170
HEALTH PARTNERS
PA
01
—
379767
HIGHMARK BLUE SHIELD
PA
01
—
CC4831
RAILROAD MEDICARE
PA
Enumeration date
02/22/2007
Last updated
10/12/2022
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