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Organization

MOUNT AUBURN ATHLETIC CLUB, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL CROWLEY (EXECUTIVE DIRECTOR)
(617) 923-0055
Entity
Organization

Contact information

Practice address
57 COOLIDGE AVE, WATERTOWN, MA 02472-2802
(617) 923-0055
(617) 812-8016
Mailing address
57 COOLIDGE AVE, WATERTOWN, MA 02472-2802
(617) 923-0055
(617) 812-8016

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
06/27/2014
Last updated
03/09/2015
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