Individual
DR. MICHAEL J JAWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
141 MAIN ST, AGAWAM, MA 01001-1804
(413) 786-0880
Mailing address
PO BOX 1288, SOUTHWICK, MA 01077-1288
(413) 569-9188
(413) 569-6493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44077
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166375
—
MA
Enumeration date
11/01/2006
Last updated
07/08/2007
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