Provider Demographics
NPI:1609831890
Name:ARIA HEALTH PHYSICIAN SERVICES
Entity Type:Organization
Organization Name:ARIA HEALTH PHYSICIAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:FINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-710-3757
Mailing Address - Street 1:PO BOX 825395
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-5395
Mailing Address - Country:US
Mailing Address - Phone:215-612-4088
Mailing Address - Fax:215-612-4323
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:ANESTHESIA DEPARTMENT
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1436
Practice Address - Country:US
Practice Address - Phone:215-612-4088
Practice Address - Fax:215-612-4323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2765495000OtherKEYSTONE,IBC PM
PA1896336OtherHIGHMARK BLUE SHIELD- PM
PA2128112000OtherKEYSTONE IBC
PA30002901OtherKEYSTONE MERCY
PA30567OtherHP BUCKS DIV
PA01697OtherH P TORRESDALE
PA1007526250039Medicaid
PA32888OtherHEALTH PARTNERS PM
PA1007526250051Medicaid
PA1442908OtherHIGHMARK BLUE SHIELD
PA30563OtherH P FRANKFORD
PA1007526250041Medicaid
PA3056444OtherAETNA CONTRACT
PA30563OtherH P FRANKFORD