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Individual
MICHAEL E JAWORSKI
Active
Individual
MICHAEL E JAWORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000498383001
BS NORTHEASTERN NY
NY
01
—
348992
MVP HEALTH PLAN
NY
Enumeration date
09/28/2006
Last updated
11/17/2016
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