1366418428 NPI number — EWA HOZAKOWSKA M.D.

Table of content: EWA HOZAKOWSKA M.D. (NPI 1366418428)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366418428 NPI number — EWA HOZAKOWSKA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOZAKOWSKA
Provider First Name:
EWA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366418428
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/05/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1910 COCHRAN RD
Provider Second Line Business Mailing Address:
MANOR OAK 2,SUITE 490
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15220-1203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-531-2902
Provider Business Mailing Address Fax Number:
412-531-2948

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 FLEET ST
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15220-2903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-920-0400
Provider Business Practice Location Address Fax Number:
412-920-8129
Provider Enumeration Date:
02/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MD056610L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0015589150005 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110116577 . This is a "RAILROAD MEDICARE PTAN" identifier . This identifiers is of the category "OTHER".




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