Provider Demographics
NPI:1407992845
Name:MULGAONKAR, UJWALA S (MD)
Entity Type:Individual
Prefix:DR
First Name:UJWALA
Middle Name:S
Last Name:MULGAONKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 KENWOOD CT
Mailing Address - Street 2:
Mailing Address - City:NORTH CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-4138
Mailing Address - Country:US
Mailing Address - Phone:973-228-4376
Mailing Address - Fax:
Practice Address - Street 1:65 E NORTHFIELD RD
Practice Address - Street 2:SUITE A
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4231
Practice Address - Country:US
Practice Address - Phone:973-992-0810
Practice Address - Fax:973-992-9435
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA42553208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics