Individual
M. RICHARD PAVAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
480 HAWTHORN ST, NORTH DARTMOUTH, MA 02747-3729
(508) 973-9170
(508) 973-9175
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
239751
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
239751
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110082693A
—
MA
Enumeration date
02/26/2007
Last updated
01/22/2025
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