National Provider Identifier Database

GENERAL PRACTICE INC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

GENERAL PRACTICE INC
703 CECIL B MOORE AVE
PHILADELPHIA, PA19122
Phone: 215-763-9564
Fax: 215-763-1165
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for GENERAL PRACTICE INC

NPI Number 1467514794
Legal business name
LBN
GENERAL PRACTICE INC
Authorized official MYRON RODOS - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 12/14/2006
Last updated 07/01/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 041759GGJ PHYSICIAN MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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