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Contact Information

CHARISSA J PETTYJOHN, MD
750 WASHINGTON ST.
BOSTON, MA02111
 Phone: 617-636-0265
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207VH0002X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CHARISSA J PETTYJOHN · (Female)

NPI Number 1861614711
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 225481
Hospital affiliation(s)
  • BRIGHAM AND WOMEN'S HOSPITAL - (Acute Care)
    75 FRANCIS STREET
    BOSTON, MA 02115
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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