Organization
MT AUBURN HOSPITAL DEPT OF PSYCHIATRY
Active
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, CLARK 1, CAMBRIDGE, MA 02138-5502
(617) 499-5054
(617) 499-5065
Mailing address
1 ARSENAL MARKET PL, WATERTOWN, MA 02472-5018
(617) 673-1851
(617) 499-5579
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
2898
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
702043
TUFTS HEALTH PLAN
MA
Enumeration date
02/25/2008
Last updated
05/05/2024
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