Individual provider · Type 1 NPI

Anthony Pettinato, MD, PhD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1255033635 Active

Practice location

185 Pilgrim Rd
Boston, MA 02215-5324

Mailing address

185 Pilgrim Road, Baker 4th Floor
Boston, MA 02215

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255033635

Anthony Pettinato, MD, PhD's National Provider Identifier is 1255033635, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Nov 1, 2026.