Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Renee Wozniak, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1790414506

Marisa Renee Wozniak, MD is an Obstetrics/Gynecology in Philadelphia, Pennsylvania. Graduated from Cooper Medical School of Rowan University in 2022, 4 years ago. Licensed in Pennsylvania.

Years since qualifying
4
Trained at
Cooper Medical School of Rowan University
Licensed in
PA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-3008
Fax: (215) 707-1387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD495053 (PA)

Record details

NPI number1790414506
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2022
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolCOOPER MEDICAL SCHOOL OF ROWAN UNIVERSITY
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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