Organization
MT AUBURN PROFESSIONAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SMITH (CFO)
(405) 245-6238
Entity
Organization
Contact information
Practice address
725 CONCORD AVE, SUITE 2000, CAMBRIDGE, MA 02138-1040
(978) 658-5577
(978) 658-5587
Mailing address
PO BOX 419, LYNNFIELD, MA 01940-0419
(978) 658-5577
(978) 658-5587
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9782206
—
MA
01
—
M16405
BCBS
MA
Enumeration date
08/30/2006
Last updated
05/05/2024
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