THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
02/06/25 11:58:37 AM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 2018
Gender: Man
Languages Spoken: ENGLISH, POLISH

Practice Information

Primary Business Location: 310 Juliana Dr
Woodstock Hospital
Woodstock ON N4V 0A4
Business Email: No Information Available
Phone: 519-421-4211
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 09 Dec 2020
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 09 2020
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Woodstock Hospital Woodstock
HOSPITAL: Woodstock Hospital
LOCATION: Woodstock

Professional Corporation Information

Corporation Name: T. Kujawa Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 12 Aug 2021
Shareholders:
Dr. T. Kujawa (CPSO#: 115395 )
Business Address: 310 Juliana Dr
Woodstock Hospital
Woodstock ON N4V 0A4
Business Address: 167 Rolph St
Tillsonburg ON N4G 3Y9

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, POLISH
Medical School: Schulich School of Medicine and Dentistry, Western University, 2018

Practice Information

Primary Business Location: 310 Juliana Dr
Woodstock Hospital
Woodstock ON N4V 0A4
Business Email: No Information Available
Phone: 519-421-4211
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 09 Dec 2020
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 09 2020
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Woodstock Hospital Woodstock
HOSPITAL: Woodstock Hospital
LOCATION: Woodstock

Professional Corporation Information

Corporation Name: T. Kujawa Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 12 Aug 2021
Shareholders:
Dr. T. Kujawa (CPSO#: 115395 )
Business Address: 310 Juliana Dr
Woodstock Hospital
Woodstock ON N4V 0A4
Business Address: 167 Rolph St
Tillsonburg ON N4G 3Y9

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. THOMAS HENRYK KUJAWA may practise only in the areas of medicine in which Dr. KUJAWA is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. THOMAS HENRYK KUJAWA may practise only in the areas of medicine in which Dr. KUJAWA is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Schulich School of Medicine and Dentistry, Western University, 2018

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 17 May 2021
Terms and conditions amended by Registration Committee. Effective: 22 Dec 2020
Subsequent certificate of registration issued: Restricted Certificate Effective: 01 Jul 2020
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 01 Jul 2020
Expired: Terms and conditions of certificate of registration Effective: 30 Jun 2020
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2018
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 17 May 2021
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 22 Dec 2020
DETAILS: Subsequent certificate of registration issued: Restricted Certificate
Date: Effective: 01 Jul 2020
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 01 Jul 2020
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 30 Jun 2020
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2018