Provider Demographics
NPI:1073694733
Name:JARMOLOWICZ, SHARON L (PA)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:L
Last Name:JARMOLOWICZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 ELM ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH DEERFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01373-1022
Mailing Address - Country:US
Mailing Address - Phone:413-665-2917
Mailing Address - Fax:
Practice Address - Street 1:140 CARANDO DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3296
Practice Address - Country:US
Practice Address - Phone:413-746-4006
Practice Address - Fax:413-746-3230
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1405363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Not Answered363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP53182Medicare UPIN
MAJA-AP1670Medicare ID - Type Unspecified