Organization
ARIA HEALTH PHYSICIAN SERVICES
Active
Other names
ARIA HEALTH PHYSICIAN SERVICES - BUSTLETON
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ABRAHAM (PRESIDENT)
(215) 612-4823
Entity
Organization
Contact information
Practice address
9892 BUSTLETON AVE, MOSS PLAZA - SUITE 206, PHILADELPHIA, PA 19115-2184
(215) 673-0343
(215) 464-6522
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 464-6522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01749
HEALTH PARTNERS
PA
05
—
1007526250039
—
PA
05
—
1007526250041
—
PA
05
—
1007526250050
—
PA
05
—
1007526250051
—
PA
01
—
1413853
HIGHMARK BLUE SHIELD
PA
01
—
2101721000
KEYSTONE,IBC
PA
01
—
2952901
AETNA
PA
01
—
30001994
KEYSTONE MERCY
PA
Enumeration date
10/04/2007
Last updated
07/29/2009
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