| NPI | 1316072077 |
|---|---|
| Doing Business As | CENTRAL SQUARE MEDICAL CENTER - GRANT AVE |
| Doing Business As | ARIA HEALTH PHYSICIAN SERVICES - CENTRAL SQUARE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | RONALD M. KUMOR Senior Vice President 215-612-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-10-12 |