Organization
ARIA HEALTH PHYSICIAN SERVICES
Active
Other names
Northeast Thoracic Surgery, ARIA HEALTH PHYSICIAN SERVICES - THORACIC SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALS KUMOR (VICE PRESIDENT)
(215) 481-6873
Entity
Organization
Contact information
Practice address
3998 RED LION RD, SUITE 214, PHILADELPHIA, PA 19114-1436
(215) 612-5050
(215) 612-5214
Mailing address
PO BOX 825395, PHILADELPHIA, PA 19182-5395
(215) 807-8000
(215) 807-8345
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10075262500041
—
PA
05
—
1007526250051
—
PA
05
—
10075262650039
—
PA
01
—
1544426
BLUE SHIELD
PA
01
—
2228685000
KEYSTONE EAST
PA
01
—
30009248
KEYSTONE MERCY
PA
01
—
3416861
AETNA
PA
01
—
34517
HEALTH PARTNERS
PA
Enumeration date
04/14/2006
Last updated
10/12/2022
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