IndividualActive
Charissa Pettyjohn, M.D.
NPI 1861614711 · Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician · Boston, MA
Provider details
- NPI number
- 1861614711
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 225481 (MA)
Mailing address
19 Peverell St
Dorchester, MA 02125
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.