Provider Demographics
NPI:1104923366
Name:GUERRERO-PAJELA, EVE BELLO (MD)
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:BELLO
Last Name:GUERRERO-PAJELA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EVE
Other - Middle Name:BELLO
Other - Last Name:GUERRERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:380R MERRIMACK ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5883
Mailing Address - Country:US
Mailing Address - Phone:978-687-6355
Mailing Address - Fax:978-722-6846
Practice Address - Street 1:380R MERRIMACK ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5883
Practice Address - Country:US
Practice Address - Phone:978-687-6355
Practice Address - Fax:978-722-6846
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA74144208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110050075AMedicaid
MA110050075AMedicaid
MAE96621Medicare UPIN