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Organization
MT AUBURN PROFESSIONAL SERVICES
Active
Organization
MT AUBURN PROFESSIONAL SERVICES
Active
Other names
Mt Auburn Professional OBGYN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SMITH (CFO)
(405) 245-6238
Entity
Organization
Contact information
Practice address
ONE ARSENAL MARKETPLACE, WATERTOWN, MA 02472
(617) 673-1851
(617) 499-5579
Mailing address
ONE ARSENAL MARKETPLACE, WATERTOWN, MA 02472
(617) 499-5644
(617) 499-5620
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
NULL
207VX0201X
Gynecologic Oncology Physician
—
—
208000000X
Pediatrics Physician
—
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
—
MA
Other
Enumeration date
08/07/2006
Last updated
05/05/2024
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