Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 15540 | WV |
Y | 207RP1001X | Pulmonary Disease | 15540 | WV |
N | 207RS0012X | Sleep Medicine | 15540 | WV |
NPI | 1033189766 |
---|---|
Provider Name | Andrzej J Jaworski |
First Address | Morgantown, WV 26505-3494 |
Second Address | Morgantown, WV 26505-1104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 13/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0071863000 | (05) | WV |
290003789 | RAILROAD MEDICARE (01) | WV |
A60097 | (02) | WV |