Provider Demographics
NPI:1144308131
Name:JAWORSKY, WOLFGANG JOSEPH (DPM)
Entity type:Individual
Prefix:DR
First Name:WOLFGANG
Middle Name:JOSEPH
Last Name:JAWORSKY
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:380 AVENUE U
Mailing Address - Street 2:SUITE 1L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-4046
Mailing Address - Country:US
Mailing Address - Phone:718-376-3077
Mailing Address - Fax:718-339-4470
Practice Address - Street 1:380 AVENUE U
Practice Address - Street 2:SUITE 1L
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-4046
Practice Address - Country:US
Practice Address - Phone:718-376-3077
Practice Address - Fax:718-339-4470
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY3936-1213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery