Provider Demographics
NPI:1669676797
Name:TENTHOFF, ANNE CATHLEEN (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:CATHLEEN
Last Name:TENTHOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:TENTHOFF
Other - Last Name:WIEDMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1235 OLD YORK RD STE 210
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3841
Mailing Address - Country:US
Mailing Address - Phone:215-659-3220
Mailing Address - Fax:215-659-8967
Practice Address - Street 1:1235 OLD YORK RD STE 210
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3841
Practice Address - Country:US
Practice Address - Phone:215-659-3220
Practice Address - Fax:215-659-8967
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD183603207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA112372Medicare PIN