Organization
MT AUBURN PROFESSIONAL SERVICES
Active
Other names
Mt Auburn Professional OBGYN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SMITH (CFO)
(405) 245-6238
Entity
Organization
Contact information
Practice address
ONE ARSENAL MARKETPLACE, WATERTOWN, MA 02472
(617) 673-1851
(617) 499-5579
Mailing address
ONE ARSENAL MARKETPLACE, WATERTOWN, MA 02472
(617) 499-5644
(617) 499-5620
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
208000000X
Pediatrics Physician
—
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
—
MA
Other
Enumeration date
08/07/2006
Last updated
05/05/2024
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