Organization
MT AUBURN PROFESSIONAL OBGYN
Active
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 02472-2861
(617) 499-5644
(617) 499-5620
Mailing address
ONE ARSENAL MARKETPLACE, WATERTOWN, MA 02472-2861
(617) 499-5644
(617) 499-5620
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
MA
207VX0201X
Gynecologic Oncology Physician
Primary
—
MA
Other
Enumeration date
03/04/2014
Last updated
05/05/2024
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