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Organization

ARIA HEALTH PHYSICIAN SERVICES

Active
Other names
ARIA QUEEN ANNE MEDICAL, Queen Anne Medical Center
Organization subpart
No

Provider details

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

Contact information

Practice address
605 S QUEEN ANNE DR, FAIRLESS HILLS, PA 19030-3811
(215) 949-2550
(215) 949-1012
Mailing address
PO BOX 825395, PHILADELPHIA, PA 19182-5395
(215) 949-2550
(215) 949-1012

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA
207R00000X
Internal Medicine Physician
Primary
PA
208D00000X
General Practice Physician
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007526250039
PA
Enumeration date
08/04/2015
Last updated
10/12/2022
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