Organization
MT AUBURN PROFESSIONAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SMITH (CFO)
(405) 245-6238
Entity
Organization
Contact information
Practice address
101 MAIN ST, STE 110, MEDFORD, MA 02155-4540
(781) 396-4514
(781) 322-1394
Mailing address
ONE ARSENAL MARKETPLACE, WATERTOWN, MA 02472
(617) 673-1851
(617) 499-5579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M19292
BLUE CROSS
MA
Enumeration date
12/27/2007
Last updated
05/05/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us