Judith Ann Tanenbaum in Phila - Physician Assistant
Judith Ann Tanenbaum - NPI 1184601627
Judith Ann Tanenbaum is a Physician Assistant in Phila, Pennsylvania. Judith Ann Tanenbaum practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Judith Ann Tanenbaum is 1184601627. The last update date is 2007-07-08.
Judith Ann Tanenbaum's current location address is 623 Unruh Ave, Phila, Pennsylvania. You can contact this provider via phone number 2152141094 and fax number 2152141098. The mailing address for Judith Ann Tanenbaum is 623 Unruh Ave, Phila, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Judith Ann Tanenbaum |
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Address | 623 Unruh Ave, Phila, Pennsylvania |
Phone Number | 2152141094 |
Fax Number | 2152141098 |
Sole Proprietor | X |
Credentials | PAC |
NPI Number Detail
NPI Number | 1184601627 |
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Provider Enumeration Date | 2005-12-27 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 623 Unruh Ave |
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City | Phila |
State | Pennsylvania (PA) |
Post Code | 19111 |
Phone Number | 2152141094 |
Fax Number | 2152141098 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | MA002088L |
Definition: 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 perfor |
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What is the unique identifier code issued to Judith Ann Tanenbaum by the Centers for Medicare & Medicaid Services?
The Judith Ann Tanenbaum has been assigned the NPI (National Provider Identifier) 1184601627. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Judith Ann Tanenbaum is physically located?
The Judith Ann Tanenbaum is situated at the following address: 623 Unruh Ave, Phila, PA 19111.
What is the Judith Ann Tanenbaum's area of specialization and corresponding taxonomy classification?
The Judith Ann Tanenbaum's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184601627 to Judith Ann Tanenbaum?
The Centers for Medicare & Medicaid Services originally issued the 1184601627 to Judith Ann Tanenbaum on 2005-12-27.
When was the information regarding Judith Ann Tanenbaum most recently updated?
The details pertaining to the Judith Ann Tanenbaum, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.