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411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452

Adult Day Care Clinic/Center in Waltham, MA · enumerated 2012 · authorized official Wolf Gafanovich, Clinical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902169105

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Registry record

Entity type Organization (Type 2)
Legal business name 411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452
Practice address 411 Waverly Oaks Rd, Waltham, MA, 02452
Fax (617) 206-3195
Enumeration date Jun 21, 2012
Last updated in NPPES Jun 21, 2012

Taxonomy & classification

261QA0600X Adult Day Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Wolf Gafanovich
Title Clinical Director

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for 411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452?
NPPES lists Wolf Gafanovich (Clinical Director) as the authorized official for this organization.
What is the NPI number for 411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452?
The NPI for 411 Waverly Oaks Rd, Suite#214, Waltham, Ma 02452 is 1902169105, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-21.