Organization
ARIA HEALTH PHYSICIAN SERVICES
Active
Other names
Northeast Pain Management at Torresdale, ARIA HEALTH PHYSICIAN SERVICES - PAIN MANAGEMENT
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KUMOR (SENIOR VICE PRESIDENT)
(215) 612-4858
Entity
Organization
Contact information
Practice address
3998 RED LION RD, SUITE 304, PHILADELPHIA, PA 19114-1436
(215) 612-4060
(215) 612-2630
Mailing address
PO BOX 825395, PHILADELPHIA, PA 19182-5395
(215) 807-8000
(215) 612-2630
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007526250039
—
PA
01
—
1896336
PERSONAL CHOICE
PA
01
—
2765495000
KEYSTONE
PA
01
—
30002901
KEYSTONE MERCY
PA
01
—
3056461
AETNA HMO
PA
01
—
8495883
AETNA PPO
PA
Enumeration date
12/30/2009
Last updated
10/12/2022
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