Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARISSA JOY PETTYJOHN, M.D.
Active Sole ProprietorHospice and Palliative Medicine (OB/GYN) · BOSTON, MA
Registration Details
- NPI Number
- 1861614711
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2007 (18.975321857045 yrs)
- Last Updated
- Jul 8, 2007
- License
-
225481 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
750 WASHINGTON ST.BOSTON, MA, 02111Browse MA providers · Browse ZIP 02111
- Phone
- 6176360265
- Primary Specialty
-
Hospice and Palliative Medicine (OB/GYN)
207VH0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.