Organization
ARIA HEALTH PHYSICIAN SERVICES
Active
Organization
ARIA HEALTH PHYSICIAN SERVICES
Active
Other names
ARIA HEALTH PHYSICIAN SERVICES - NORTHEAST INTERNAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ABRAHAM (PRESIDENT)
(215) 612-4823
Entity
Organization
Contact information
Practice address
2451 GRANT AVE, SUITE 1A, PHILADELPHIA, PA 19114-1004
(215) 969-1500
(215) 969-3775
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 969-3775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0179761007
KEYSTONE,IBC
PA
01
—
03315
HEALTH PARTNERS
PA
05
—
1007526250039
—
PA
05
—
1007526250041
—
PA
05
—
1007526250051
—
PA
01
—
1024563
KEYSTONE MERCY
PA
01
—
301
AETNA
PA
01
—
379886
HIGHMARK BLUE SHIELD
PA
Enumeration date
02/26/2007
Last updated
06/28/2010
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