Individual
DR. MARY LOU JAZWINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 874-5257
(610) 874-7241
Mailing address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 874-5257
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
OS004739L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009069800
—
PA
Enumeration date
11/10/2006
Last updated
05/11/2016
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