Organization
SUBURBAN PSYCHIATRIC SPECIALISTS PC
Active
Organization
SUBURBAN PSYCHIATRIC SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UJALA FAWAD MD (PRESIDENT)
(508) 206-8578
Entity
Organization
Contact information
Practice address
1500 BOSTON PROVIDENCE TPKE STE 20, NORWOOD, MA 02062-4649
(508) 206-8578
Mailing address
1500 BOSTON PROVIDENCE TPKE STE 20, NORWOOD, MA 02062-4649
(508) 206-8578
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
2084P0015X
Psychosomatic Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/22/2024
Last updated
06/23/2025
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