Healthcare Provider Details

I. General information

NPI: 1205693207
Provider Name (Legal Business Name): FRANCESCA ROSSELLA COLOMBO PAVINI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date: 12/05/2024
Reactivation Date: 08/19/2025

III. Provider practice location address

330 BROOKLINE AVE DEPARTMENT OF ANETHESIA
BOSTON MA
02215
US

IV. Provider business mailing address

330 BROOKLINE AVE
BOSTON MA
02215-5400
US

V. Phone/Fax

Practice location:
  • Phone: 617-667-3112
  • Fax: 617-754-8791
Mailing address:
  • Phone: 617-667-3112
  • Fax: 617-754-8791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number5001493
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: