Individual
JUDY U. PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6045
(570) 271-6542
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6045
(570) 271-6542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002525
MD
363A00000X
Physician Assistant
Primary
MA058659
PA
363A00000X
Physician Assistant
PA030319
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145724700
DEDERAL WORKMAN'S COMPENSATION DEPT. OF LABOR
—
01
—
1891771085
NPI 1891771085
MD
01
—
251143
KAISER
—
Enumeration date
12/20/2005
Last updated
07/01/2026
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