Provider Demographics
NPI:1518984947
Name:JAWOREK, AMELIA MAE (MD)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:MAE
Last Name:JAWOREK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:280 CHESTNUT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:40 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-1138
Practice Address - Country:US
Practice Address - Phone:413-284-5400
Practice Address - Fax:413-284-5559
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA151708207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
151708OtherCONNECTICARE
66079OtherHARVARD PILGRIM HLTH CARE
MA984957OtherNETWORK HEALTH
10195096OtherCIGNA
MA38018OtherFALLON COMMUNITY HLTH PLA
151708OtherTUFTS COMMUNITY HLTH PLAN
G44952Medicare UPIN
J18291Medicare ID - Type Unspecified
MAJ17281OtherBLUECROSS BLUESHIELD
92-00087OtherUNITED HEALTH CARE
MA3164993Medicaid
990004901OtherRAILROAD MEDICARE
350480OtherHEALTHSOURCE CMHC