Basic Information
| Provider Information | |||||||||
| NPI: | 1104923366 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GUERRERO-PAJELA | ||||||||
| FirstName: | EVE | ||||||||
| MiddleName: | BELLO | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | GUERRERO | ||||||||
| OtherFirstName: | EVE | ||||||||
| OtherMiddleName: | BELLO | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 380R MERRIMACK ST | ||||||||
| Address2: | |||||||||
| City: | METHUEN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018445883 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9786876355 | ||||||||
| FaxNumber: | 9787226846 | ||||||||
| Practice Location | |||||||||
| Address1: | 380R MERRIMACK ST | ||||||||
| Address2: | SUITE 3B | ||||||||
| City: | METHUEN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018445883 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9786876355 | ||||||||
| FaxNumber: | 9787226846 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 01/06/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 74144 | MA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 110050075A | 05 | MA | MEDICAID |