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WALTHAM FAMILY PRACTICE, PC
NPI 1477563377
Family Medicine in Waltham, MA

Active since August 09, 2006
9 HOPE AVE, 1ST FLOOR, WALTHAM, MA 02453(781) 314-0191(781) 314-0192 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waltham Family Practice, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTHAM FAMILY PRACTICE, PC (NPI 1477563377) is a healthcare organization registered as a family medicine in Waltham, Massachusetts and active in the NPI registry since August 2006. The organization lists Punyamurtula S Kishore, President, as its authorized official.

NPPES Registry Identity

NPI1477563377
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWALTHAM FAMILY PRACTICE, PC
Location Address9 HOPE AVE, 1ST FLOORWaltham, MA 02453-2741
Mailing Address59 Temple Pl, Ste 612Boston, MA 02111-1307 · (617) 264-9764 · Fax (617) 264-9763
Phone(781) 314-0191
Fax(781) 314-0192
Organization SubpartNo
Authorized OfficialPunyamurtula S KishorePresident · (617) 738-4640
Enumeration DateAugust 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1477563377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9 HOPE AVE, Waltham, MA 02453
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA BARZACH M.S., CCC-SLP
Speech-Language Pathologist
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2209
JULIE FRENCH LICSW
Social Worker (Clinical)
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (617) 355-6000
MARY WOODLAND LICSW
Social Worker (Clinical)
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-3352
DR. AMANDA ROSE MICHEL PT, DPT
Physical Therapist
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2100
SHARON SHAHAM MS
Speech-Language Pathologist
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2200
TERRELL A CLARK PHD
Psychologist (Clinical Child & Adolescent)
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2200
TAMAR M GOMES AU.D.
Audiologist
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2304
NICOLE M. SEMON PT, DPT, PCS
Physical Therapist
9 HOPE AVE, DEPARTMENT OF PHYSICAL AND OCCUPATIONAL THERAPY
WALTHAM, MA 02453
Middlesex County (781) 216-3670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waltham Family Practice, PC's NPI number?

The NPI number for Waltham Family Practice, PC is 1477563377. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Waltham Family Practice, PC located?

Waltham Family Practice, PC is located at 9 Hope Ave 1st Floor, Waltham, MA 02453. The listed phone number is (781) 314-0191.

What is Waltham Family Practice, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Waltham Family Practice, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.