# ARIA HEALTH PHYSICIAN SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTRAL SQUARE MEDICAL TORRESDALE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679131585
- **Authorized official:** RONALD KUMOR (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (215) 612-4858

## Contact information

- **Practice address:** 3998 RED LION RD STE 204, PHILADELPHIA, PA 19114-1440
- **Practice address phone:** (215) 612-8484
- **Practice address fax:** (215) 831-2545
- **Mailing address:** PO BOX 8500-6335, PHILADELPHIA, PA 19178-6335
- **Mailing address phone:** (215) 481-6873
- **Mailing address fax:** (215) 481-3985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2019
- **Last updated:** 06/05/2019