Provider Demographics
NPI:1932196268
Name:PAJELA, REX CORPUZ (MD)
Entity Type:Individual
Prefix:DR
First Name:REX
Middle Name:CORPUZ
Last Name:PAJELA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:77 WARREN ST
Mailing Address - Street 2:RM 339
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135
Mailing Address - Country:US
Mailing Address - Phone:617-562-5359
Mailing Address - Fax:617-562-5415
Practice Address - Street 1:380R MERRIMACK ST
Practice Address - Street 2:SUTE 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:978-689-7353
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2016-06-02
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Provider Licenses
StateLicense IDTaxonomies
MA76309208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1211439Medicaid
MA1211439Medicaid
F69853Medicare UPIN