Provider Demographics
NPI:1366418428
Name:HOZAKOWSKA, EWA (MD)
Entity type:Individual
Prefix:
First Name:EWA
Middle Name:
Last Name:HOZAKOWSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 COCHRAN RD
Mailing Address - Street 2:MANOR OAK 2,SUITE 490
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1203
Mailing Address - Country:US
Mailing Address - Phone:412-531-2902
Mailing Address - Fax:412-531-2948
Practice Address - Street 1:300 FLEET ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-2903
Practice Address - Country:US
Practice Address - Phone:412-920-0400
Practice Address - Fax:412-920-8129
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056610L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015589150005Medicaid
110116577OtherRAILROAD MEDICARE PTAN
PAG13049Medicare UPIN
110116577OtherRAILROAD MEDICARE PTAN