1225075724 NPI number — DR. ANTOINETTE JOSEPHINE WOZNIAK MD

Table of content: DR. ANTOINETTE JOSEPHINE WOZNIAK MD (NPI 1225075724)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225075724 NPI number — DR. ANTOINETTE JOSEPHINE WOZNIAK MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WOZNIAK
Provider First Name:
ANTOINETTE
Provider Middle Name:
JOSEPHINE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1225075724
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/23/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5150 CENTRE AVENUE
Provider Second Line Business Mailing Address:
UPMC CANCER PAVILION, 5TH FLOOR, ROOM 568
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15232
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-648-6575
Provider Business Mailing Address Fax Number:
412-648-6579

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5115 CENTRE AVENUE
Provider Second Line Business Practice Location Address:
HILLMAN CANCER CENTER
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-692-4724
Provider Business Practice Location Address Fax Number:
412-648-6579
Provider Enumeration Date:
06/01/2006

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:  4301046736 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RH0003X , with the licence number: 4301046736 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RX0202X , with the licence number: MD465382 , 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)





Copyright © 2007-2025 www.npivalidator.com