Provider Demographics
NPI:1053356329
Name:MCEVOY, PAULA JEAN (MD)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:JEAN
Last Name:MCEVOY
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 1:60 ROLLING LN
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-1323
Mailing Address - Country:US
Mailing Address - Phone:781-249-5429
Mailing Address - Fax:
Practice Address - Street 1:50 TREMONT ST
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-2721
Practice Address - Country:US
Practice Address - Phone:781-665-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA152936208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA201966OtherHPHC
MA152936OtherTUFTS
MAJ18939OtherBCBS
MA1201396OtherUNITED
MAB10311301OtherCIGNA
MA2836275OtherAETNA
MA3180531Medicaid