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NPI Code Detail

MEDICARE: DR. UJALA FAWAD M.D.

MEDICARE: DR. UJALA FAWAD 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
12084P0800XPsychiatry Physician250484MA
22084P0800XPsychiatry PhysicianMD14383RI
32084P0800XPsychiatry PhysicianTPME303FL

General Provider Information

NPI Number : 1063662112
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. UJALA FAWAD M.D.
Provider Business Mailing Address
First Line : 1500 BOSTON PROVIDENCE TPKE STE 20
Second Line :
City : NORWOOD
State : MA
Zip : 02062-4649
Country : US
Telephone Number : 508-206-8578
Fax Number :
Provider Business Practice Location Address
First Line : 1500 BOSTON PROVIDENCE TPKE STE 20
Second Line :
City : NORWOOD
State : MA
Zip : 02062-4649
Country : US
Telephone Number : 508-206-8578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2008
Last Update Date : 01/07/2026

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