Individual
KRISTINE MINH-THU JAWORSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 400, ALLENTOWN, PA 18103-6224
(610) 402-6555
(610) 402-6550
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 629-2282
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA063415
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA063415
STATE LICENSE
PA
Enumeration date
02/22/2022
Last updated
06/20/2024
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