Individual
DR. JOEL A PAVA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
50 STANIFORD ST, 4TH FLOOR, BOSTON, MA 02114-2517
(617) 724-6528
(617) 724-3028
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4829
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0502367
—
MA
01
—
W04638
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
07/08/2007
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