Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Judith Ann Tanenbaum, PAC

Individual provider Physician Assistant · NPI 1184601627

Judith Ann Tanenbaum, PAC is a Physician Assistant in Phila, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2100 W Girard Ave
Phila, PA 19130
Phone: (215) 214-1094
Fax: (215) 214-1098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA002088L (PA)

Record details

NPI number1184601627
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESJuly 13, 2026

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