Individual
JOSEPH EDGAR JAWORSKI,
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12070 OLD LINE CTR, SUITE 302, WALDORF, MD 20602-2513
(301) 645-6667
(301) 870-9722
Mailing address
8200 TRUMPS HILL RD, UPPER MARLBORO, MD 20772-4936
(301) 627-3831
(301) 870-9722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001477
MD
Other
Enumeration date
11/22/2005
Last updated
07/06/2010
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