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Organization

ARIA HEALTH PHYSICIAN SERVICES - JUNIATA

Active
Other names
Juniata Family Medical
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD KUMOR (SENIOR VICE PRESIDENT)
(215) 612-4858
Entity
Organization

Contact information

Practice address
1139 E LUZERNE ST, PHILADELPHIA, PA 19124-5234
(215) 537-5094
(215) 537-5096
Mailing address
PO BOX 825395, PHILADELPHIA, PA 19182-5395
(215) 807-8000
(215) 537-5096

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0422923001
KEYSTONE, IBC
PA
05
1007526250039
PA
05
1007526250041
PA
05
1007526250051
PA
01
1022049
KEYSTONE MERCY
PA
01
11055
HEALTH PARTNERS
PA
01
2010
AETNA
PA
01
381501
HIGHMARK BLUE SHIELD
PA
Enumeration date
02/22/2007
Last updated
10/12/2022
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