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WOBURN FAMILY PRACTICE INC NPI 1730197328


NPI Information

NPI: 1730197328
Provider Name: WOBURN FAMILY PRACTICE, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3 BALDWIN GREEN CMN
SUITE 105
WOBURN, MA
ZIP 01801
Phone: (781) 376-1771
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WOBURN FAMILY PRACTICE, INC is a family medicine in Woburn, MA. The provider is 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. WOBURN FAMILY PRACTICE, INC NPI is 1730197328. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 BALDWIN GREEN CMN
SUITE 105
WOBURN, MA
ZIP 01801-865
Phone: (781) 376-1771
Fax: (781) 376-4242

The provider's authorized official is Punyamurtula S Kishore .
The authorized official title is President and has the following contact phone number (617) 738-4640.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207QA0401XFamily MedicineAddiction MedicineX
3207R00000XInternal MedicineX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.