MEDICARE: EWA HOZAKOWSKA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD056610L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110116577	OTHER		RAILROAD MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366418428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EWA HOZAKOWSKA M.D.

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

Provider Business Practice Location Address
First Line	:	300 FLEET ST
Second Line	:	SUITE 100
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-2903
Country	:	US
Telephone Number	:	412-920-0400
Fax Number	:	412-920-8129

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	03/05/2018

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Directions to “ EWA HOZAKOWSKA M.D.” Practice Location

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