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1477563377
WALTHAM FAMILY PRACTICE, PC
WALTHAM, MA
NPI
1477563377
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Entity Type
Organization
Authorized Contact
PUNYAMURTULA S KISHORE
President
617-738-4640
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-08-09
Last Update Date
2020-08-22
Business Address
WALTHAM FAMILY PRACTICE, PC
9 HOPE AVE 1ST FLOOR
WALTHAM, MA 02453-2741
Phone number: 781-314-0191
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Mailing Address
WALTHAM FAMILY PRACTICE, PC
59 TEMPLE PL STE 612
BOSTON, MA 02111-1307
Phone number: 617-264-9764
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