Organization
HOLYOKE FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PUNYAMURTULA S KISHORE MD (PRESIDENT)
(617) 738-4640
Entity
Organization
Contact information
Practice address
195 HIGH ST, HOLYOKE, MA 01040-6504
(413) 315-6110
(413) 315-6114
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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