| Organization Name: | GENERAL PRACTICE INC |
| NPI Number: | 1467514794 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MYRON RODOS (PHYSICIAN) |
| Mailing Address: | 703 Cecil B Moore Ave Phila |
| State: | PA US |
| Postal Code: | 19122 |
| Phone Number: | 2157639564 |
| Fax Number: | 2157631165 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 07/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |