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Organization
MT AUBURN HOSPITAL
Active
Organization
MT AUBURN HOSPITAL
Active
Other names
Mt Auburn Dept of Neonatology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SMITH (CFO)
(405) 245-6238
Entity
Organization
Contact information
Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5595
(617) 499-5103
Mailing address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5595
(617) 499-5103
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
—
722339
TUFTS
MA
Enumeration date
05/30/2014
Last updated
05/05/2024
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