Waltham Family Practice, PC
Family Medicine in Waltham, Massachusetts
1477563377- Practice location
- 9 Hope Ave, 1ST Floor, Waltham, MA 02453-2741
- Phone
- 781-314-0191
- Fax
- 781-314-0192
- Last updated
- August 22, 2020
Waltham Family Practice, PC is a healthcare organization based in Waltham, MA. Waltham Family Practice, PC practices in Waltham, MA. The NPI Number for Waltham Family Practice, PC is 1477563377. The current practice location address for Waltham Family Practice, PC is 9 Hope Ave, 1ST Floor, Waltham, MA 02453-2741 and can be reached out via phone at 781-314-0191 and via fax at 781-314-0192.
Provider Profile Details
- NPI Number
- 1477563377
- Provider Name
- Waltham Family Practice, PC
- Provider Entity Type
- Organization
- Address
- 9 Hope Ave, 1ST Floor, Waltham, MA 02453-2741
- Phone Number
- 781-314-0191
- Fax Number
- 781-314-0192
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Punyamurtula S Kishore, MD · President · 617-738-4640
- Provider Enumeration Date
- August 9, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 Hope Ave
1ST Floor
Waltham, MA 02453-2741 - City
- Waltham
- State
- Massachusetts
- Zip
- 02453-2741
- Phone Number
- 781-314-0191
- Fax Number
- 781-314-0192
Provider Business Mailing Address Details
- Address
- 59 Temple Pl
Ste 612
Boston, MA 02111-1307 - City
- Boston
- State
- MA
- Zip
- 02111-1307
- Phone Number
- 617-264-9764
- Fax Number
- 617-264-9763
License Information
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Waltham, MA
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- Kristina Maggiacomo, RD, LDNDietitian, Registered · NPI 1700785227
- Maeve PondCounselor, Mental Health · NPI 1740188622
- Melissa A Heffron, NPRegistered Nurse · NPI 1912619545
- Samantha CottoSocial Worker, Clinical · NPI 1801521398
Frequently Asked Questions
What is the NPI number of Waltham Family Practice, PC?
The NPI number of Waltham Family Practice, PC is 1477563377. It was assigned on August 9, 2006 and is currently active in the NPPES registry.
What is the specialty of Waltham Family Practice, PC?
Waltham Family Practice, PC is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Waltham Family Practice, PC practice?
The practice location is 9 Hope Ave, 1ST Floor, Waltham, MA 02453-2741. The office can be reached at 781-314-0191 (phone) or 781-314-0192 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477563377 directly on the NPPES registry website.