Organization
ARIA HEALTH PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ABRAHAM (PRESIDENT)
(215) 612-4823
Entity
Organization
Contact information
Practice address
1530 WOODBOURNE RD, LEVITTOWN, PA 19057-1532
(215) 949-1125
(215) 949-6004
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 949-6004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007526250051
—
PA
01
—
1742145
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/15/2007
Last updated
04/27/2009
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