Organization
ARIA HEALTH PHYSICIAN SERVICES
Active
Other names
Morrell Park Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KUMOR (CEO APS)
(215) 612-4858
Entity
Organization
Contact information
Practice address
10101 ACADEMY RD, SUITE 104, PHILADELPHIA, PA 19114-1120
(215) 632-4000
(215) 632-1661
Mailing address
PO BOX 825395, PHILADELPHIA, PA 19182-5395
(215) 807-8000
(215) 632-1661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
207R00000X
Internal Medicine Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015464001
KEYSTONE, IBC
PA
05
—
1007526250039
—
PA
05
—
1007526250041
—
PA
05
—
1007526250051
—
PA
01
—
1025866
KEYSTONE MERCY
PA
01
—
179943
HIGHMARK BLUE SHIELD
PA
01
—
18036
AETNA
PA
01
—
18170
HEALTH PARTNERS
PA
01
—
379767
HIGHMARK BLUE SHIELD
PA
01
—
CC4831
RAILROAD MEDICARE
PA
Enumeration date
02/22/2007
Last updated
10/12/2022
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