Organization
ARIA HEALTH PHYSICIAN SERVICES -OTOLARYNGOLOGY
Active
Other names
Northeast ENT at Torresdale
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KUMOR (SENIOR VICE PRESIDENT)
(215) 612-4858
Entity
Organization
Contact information
Practice address
3998 RED LION RD STE 211, PHILADELPHIA, PA 19114-1440
(215) 612-5390
(215) 612-5658
Mailing address
PO BOX 825395, PHILADELPHIA, PA 19182-5395
(215) 807-8000
(215) 612-5658
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007526250039
—
PA
05
—
1007526250041
—
PA
05
—
1007526250051
—
PA
01
—
1783156
HIGHMARK BLUE SHIELD
PA
01
—
2620890000
KEYSTONE IBC
PA
01
—
2952901
AETNA HMO
PA
01
—
30027496
KEYSTONE MERCY
PA
01
—
36045
HEALTH PARTNERS
PA
01
—
4360702
AETNA PPO
PA
01
—
CC4831
RAILROAD MEDICARE
PA
Enumeration date
02/20/2007
Last updated
10/12/2022
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