| Suburban Psychiatric Specialists Pc | |
|
1500 Providence Hwy Ste 22b Norwood MA 02062-4649 | |
| (508) 205-9628 | |
| Not Available |
| Full Name | Suburban Psychiatric Specialists Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1500 Providence Hwy Ste 22b, Norwood, Massachusetts |
| Authorized Official Name and Position | Ujala Fawad (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5082068578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Psychiatric Specialists Pc 1500 Providence Hwy Ste 22b Norwood MA 02062-4649 Ph: (508) 206-8578 | Suburban Psychiatric Specialists Pc 1500 Providence Hwy Ste 22b Norwood MA 02062-4649 Ph: (508) 205-9628 |
| NPI Number | 1447874284 |
|---|---|
| Provider Enumeration Date | 06/07/2020 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/28/2022 |
| Medicare PECOS PAC ID | 1557764545 |
|---|---|
| Medicare Enrollment ID | O20210728003038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447874284 | NPI | - | NPPES |
| Provider Name | Ujala Fawad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063662112 PECOS PAC ID: 9335392224 Enrollment ID: I20121228000193 |
| Provider Name | Usama Feroze |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184904146 PECOS PAC ID: 7810281094 Enrollment ID: I20220623002183 |
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