Organization
MAVIS W. JAWORSKI, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAVIS W JAWORSKI M.D. (OWNER)
(978) 921-5885
Entity
Organization
Contact information
Practice address
25 HALE ST, BEVERLY, MA 01915-5268
(978) 921-5885
Mailing address
100 CUMMINGS CTR STE 232C, BEVERLY, MA 01915-6126
(978) 988-6799
(978) 998-6803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
151523
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M16982
BLUE SHIELD
MA
Enumeration date
11/15/2007
Last updated
11/15/2007
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