Organization
MT AUBURN PROF SERVICES
Active
Other names
Sleep Disorders Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SMITH (CFO)
(405) 245-6238
Entity
Organization
Contact information
Practice address
799 CONCORD AVE, D-3, CAMBRIDGE, MA 02138-1048
(617) 868-2914
Mailing address
ONE ARSENAL MARKETPLACE, WATERTOWN, MA 02472
(617) 673-1851
(617) 499-5579
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9702580
—
MA
Enumeration date
07/15/2008
Last updated
05/05/2024
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