Provider Demographics
NPI:1841249349
Name:GENERAL PRACTICE ASSOCIATES LTD
Entity type:Organization
Organization Name:GENERAL PRACTICE ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECTY TREAS GPA
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:DOROSHOW
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-483-2113
Mailing Address - Street 1:7131 RIDGE AVENUE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128
Mailing Address - Country:US
Mailing Address - Phone:215-483-2113
Mailing Address - Fax:215-483-8012
Practice Address - Street 1:7131 RIDGE AVENUE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128
Practice Address - Country:US
Practice Address - Phone:215-483-2113
Practice Address - Fax:215-483-8012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006599500001Medicaid
PA065901Medicare ID - Type Unspecified