| General Practice Associates Ltd | |
|
7131 Ridge Avenue Philadelphia PA 19128 | |
| (215) 483-2113 | |
| (215) 483-8012 |
| Full Name | General Practice Associates Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 7131 Ridge Avenue, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Larry Paul Doroshow (SECTY TREAS GPA) |
| Authorized Official Contact | 2154832113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| General Practice Associates Ltd 7131 Ridge Avenue Philadelphia PA 19128 Ph: (215) 483-2113 | General Practice Associates Ltd 7131 Ridge Avenue Philadelphia PA 19128 Ph: (215) 483-2113 |
| NPI Number | 1841249349 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1951399104 |
|---|---|
| Medicare Enrollment ID | O20040505000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841249349 | NPI | - | NPPES |
| 0006599500001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Larry P Doroshow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396737805 PECOS PAC ID: 9931129400 Enrollment ID: I20100628000484 |
| Provider Name | Gary M Cohen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710979224 PECOS PAC ID: 9234260308 Enrollment ID: I20100707000003 |
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