# MT AUBURN PROFESSIONAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mt Auburn Professional OBGYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407865439
- **Authorized official:** MR. BRIAN SMITH (CFO)
- **Authorized official phone:** (405) 245-6238

## Contact information

- **Practice address:** ONE ARSENAL MARKETPLACE, WATERTOWN, MA 02472
- **Practice address phone:** (617) 673-1851
- **Practice address fax:** (617) 499-5579
- **Mailing address:** ONE ARSENAL MARKETPLACE, WATERTOWN, MA 02472
- **Mailing address phone:** (617) 499-5644
- **Mailing address fax:** (617) 499-5620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 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