Waltham Family Practice, PC

NPI #1477563377 in Waltham, Massachusetts

Provider Information

NPI Number: 1477563377
Entity Type: Organization
Organization Name: Waltham Family Practice, PC
Primary Specialty: Family Medicine
Enumeration Date: Aug 9, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 9 HOPE AVE
Address 2: 1ST FLOOR
City: Waltham
State: Massachusetts
ZIP Code: 02453-2741
Phone: (781) 314-0191

Authorized Official

Name: PUNYAMURTULA S KISHORE, MD
Title: PRESIDENT
Phone: (617) 738-4640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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