Doroshow, Larry Paul

Doroshow, Larry Paul is an individual health care provider with primary practice located at 7131 Ridge Ave , Phila PA 19128-3251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Doroshow, Larry Paul can be contacted via phone (215) 483-2113.

Contact Information

Primary practice address
7131 Ridge Ave Phila PA 19128-3251
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DS005305L Pennsylvania

Profile Details

NPI number 1396737805
LBN Legal business name Doroshow, Larry Paul
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Sep 24th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396737805 NPPES
Pennsylvania MEDICAID 0010051000001

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