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Organization
MOUNT AUBURN HOSPITAL
Active
Organization
MOUNT AUBURN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SMITH R.N. (CFO)
(405) 245-6238
Entity
Organization
Contact information
Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5700
(617) 499-5422
Mailing address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5700
(617) 499-5422
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2276276
AETNA GROUP NUMBER
MA
01
—
722339
TUFTS HEALTH PLAN
MA
05
—
9760466
—
MA
01
—
M16524
BLUE SHIELD OF MA
MA
Enumeration date
05/17/2007
Last updated
05/05/2024
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