Individual provider · Type 1 NPI

Judith Ann Tanenbaum, PAC

Physician Assistant · Phila, PA

NPI number 1184601627 Active

Practice location

2100 W Girard Ave
Phila, PA 19130

Call (215) 214-1094 Map

Fax (215) 214-1098

Mailing address

623 Unruh Ave, 2nd Fl
Phila, PA 19111

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA002088L (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1184601627

Judith Ann Tanenbaum, PAC's National Provider Identifier is 1184601627, issued on Dec 27, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phila, PA. The record was last updated on Jul 13, 2026.