Charissa J Pettyjohn, MD
Obstetrics & Gynecology, Hospice and Palliative Medicine in Boston, Massachusetts
1861614711- Practice location
- 750 Washington St., Boston, MA 02111
- Phone
- 617-636-0265
- Fax
- —
- Last updated
- July 8, 2007
Charissa Joy Pettyjohn is an Obstetrics & Gynecology, Hospice and Palliative Medicine based in Boston, MA. Charissa Joy Pettyjohn practices in Boston, MA and has the professional credentials of MD. The NPI Number for Charissa Joy Pettyjohn is 1861614711 and holds a License No. 225481 (MA). The current practice location address for Charissa Joy Pettyjohn is 750 Washington St., Boston, MA 02111 and can be reached out via phone at 617-636-0265.
Provider Profile Details
- NPI Number
- 1861614711
- Provider Name
- Charissa Joy Pettyjohn
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 750 Washington St., Boston, MA 02111
- Phone Number
- 617-636-0265
- Primary Taxonomy
- Obstetrics & Gynecology, Hospice and Palliative Medicine · 207VH0002X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 2, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 750 Washington St.
Boston, MA 02111 - City
- Boston
- State
- Massachusetts
- Zip
- 02111
- Phone Number
- 617-636-0265
Provider Business Mailing Address Details
- Address
- 19 Peverell St
Apt 3
Dorchester, MA 02125 - City
- Dorchester
- State
- MA
- Zip
- 02125
- Phone Number
- 857-212-3169
License Information
- License Number
- 225481
- License State
- MA
- Taxonomy
- Obstetrics & Gynecology, Hospice and Palliative Medicine · 207VH0002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Charissa J Pettyjohn, MD?
The NPI number of Charissa J Pettyjohn, MD is 1861614711. It was assigned on May 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Charissa J Pettyjohn, MD?
Charissa J Pettyjohn, MD is registered under the primary taxonomy Obstetrics & Gynecology, Hospice and Palliative Medicine (code 207VH0002X), licensed in MA under license number 225481.
Where does Charissa J Pettyjohn, MD practice?
The practice location is 750 Washington St., Boston, MA 02111. The office can be reached at 617-636-0265 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861614711 directly on the NPPES registry website.