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Organization

ARIA HEALTH PHYSICIAN SERVICES-GYN

Active
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, SUITE 106, PHILADELPHIA, PA 19114-1436
(215) 612-4143
(215) 612-4909
Mailing address
PO BOX 825395, PHILADELPHIA, PA 19182-5395
(215) 481-6836
(215) 481-5788

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
PA
207VX0201X
Gynecologic Oncology Physician
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007526250039
PA
05
1007526250041
PA
05
1007526250051
PA
01
1159829
KEYSTONE MERCY
PA
01
1382048
PERSONAL CHOICE
PA
01
2073552000
KEYSTONE EAST
PA
01
2807246
AETNA
PA
01
33630
HEALTH PARTNERS
PA
01
=========
TAX ID
PA
Enumeration date
04/19/2006
Last updated
10/12/2022
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