Provider Demographics
NPI:1285819359
Name:NAVARRO, PAULA ANDREA (MD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:ANDREA
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 WASHINGTON ST # 14P
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1704
Mailing Address - Country:US
Mailing Address - Phone:617-997-2121
Mailing Address - Fax:617-636-8302
Practice Address - Street 1:670 ALBANY ST
Practice Address - Street 2:FLOOR 3 ROOM 310
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-997-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA249621207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology