Healthcare Provider Details

I. General information

NPI: 1225075724
Provider Name (Legal Business Name): ANTOINETTE JOSEPHINE WOZNIAK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 08/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 CENTRE AVENUE HILLMAN CANCER CENTER
PITTSBURGH PA
15232
US

IV. Provider business mailing address

5150 CENTRE AVENUE UPMC CANCER PAVILION, 5TH FLOOR, ROOM 568
PITTSBURGH PA
15232
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-4724
  • Fax: 412-648-6579
Mailing address:
  • Phone: 412-648-6575
  • Fax: 412-648-6579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301046736
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number4301046736
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD465382
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: