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Organization

SPRINGFIELD FAMILY PRACTICE, INC

Active
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Organization

SPRINGFIELD FAMILY PRACTICE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PUNYAMURTULA S KISHORE MD (PRESIDENT)
(617) 738-4640
Entity
Organization

Contact information

Practice address
125 LIBERTY ST, SUITE 408, SPRINGFIELD, MA 01103-1114
(413) 781-6410
(413) 781-6625
Mailing address
59 TEMPLE PL, SUITE 612, BOSTON, MA 02111-1307
(617) 264-9764
(617) 264-9763

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
08/03/2006
Last updated
09/11/2025
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