Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waltham Family Practice, PC

Organization Family Medicine Physician · NPI 1477563377

Waltham Family Practice, PC is a Family Medicine Physician in Waltham, Massachusetts. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9 Hope Ave 1st Fl
Waltham, MA 02453-2741
Phone: (781) 314-0191
Fax: (781) 314-0192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1477563377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Punyamurtula Kishore — President · (617) 738-4640
NPI enumeratedAugust 9, 2006
Last updated in NPPESAugust 22, 2020
Mailing address59 Temple Pl, Ste 612, Boston, MA 02111-1307

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