Individual
MS. MELISSA DAWN CHITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, GRAY 290, BOSTON, MA 02114-2621
(617) 726-8314
Mailing address
55 FRUIT ST, GRAY 290, BOSTON, MA 02114-2621
(617) 726-8314
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA4060
MA
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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