MEDICARE: DR. UJWALA DIXIT MD

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	2084P0800X	Psychiatry Physician	MD062679L	PA

General Provider Information

NPI Number	:	1205920238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. UJWALA DIXIT MD

Provider Business Mailing Address
First Line	:	1138 BALTIMORE PIKE # 5353
Second Line	:
City	:	SPRINGFIELD
State	:	PA
Zip	:	19064-2850
Country	:	US
Telephone Number	:	302-477-0977
Fax Number	:

Provider Business Practice Location Address
First Line	:	1138 BALTIMORE PIKE # 5353
Second Line	:
City	:	SPRINGFIELD
State	:	PA
Zip	:	19064-2850
Country	:	US
Telephone Number	:	302-477-0977
Fax Number	:

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	12/10/2025

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