Organization
ARIA HEALTH PHYSICIAN SERVICES-SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ABRAHAM (PRESIDENT)
(215) 612-4823
Entity
Organization
Contact information
Practice address
3998 RED LION RD, SUITE 235, PHILADELPHIA, PA 19114-1436
(215) 632-3630
(215) 632-3544
Mailing address
ARIA HEALTH PHYSICIAN SERVICES, P. O. BOX 8500 - 6335, PHILADELPHIA, PA 19178-6335
(215) 807-8000
(215) 807-8235
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
PA
208C00000X
Colon & Rectal Surgery Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01749
HEALTH PARTNERS
PA
01
—
03770
HEALTH PARTNERS
PA
05
—
1007526250039
—
PA
05
—
1007526250041
—
PA
05
—
1007526250051
—
PA
01
—
1145598
AETNA
PA
01
—
1413853
HIGHMARK BLUE SHIELD
PA
01
—
1783156
BLUE SHIELD
PA
01
—
2101721000
KEYSTONE, IBC
PA
01
—
2620890000
KEYSTONE EAST
PA
01
—
2952901
AETNA
PA
01
—
30001994
KEYSTONE MERCY
PA
01
—
30027496
KEYSTONE MERCY
PA
01
—
36045
HEALTH PARTNERS
PA
01
—
37353
HEALTH PARTNERS
PA
Enumeration date
04/19/2006
Last updated
11/30/2010
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