MEDICARE: MR. PAVEL JAWORSKI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	MA064483	PA
2	363AM0700X	Medical Physician Assistant	MA064483	PA

General Provider Information

NPI Number	:	1851178594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAVEL JAWORSKI PA-C

Provider Business Mailing Address
First Line	:	2100 MACK BLVD FL 4
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18103-5622
Country	:	US
Telephone Number	:	484-884-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	422 NORMAL ST
Second Line	:
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18301-2717
Country	:	US
Telephone Number	:	570-424-2100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2023
Last Update Date	:	07/18/2025

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Directions to “ MR. PAVEL JAWORSKI PA-C” Practice Location

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