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Organization

MOUNT AUBURN PROFESSIONAL SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN SMITH MD (CFO)
(405) 245-6238
Entity
Organization

Contact information

Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5654
Mailing address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5654

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RG0100X
Gastroenterology Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207RH0003X
Hematology & Oncology Physician
207RI0200X
Infectious Disease Physician
207RP1001X
Pulmonary Disease Physician
207RR0500X
Rheumatology Physician
207V00000X
Obstetrics & Gynecology Physician
2084N0400X
Neurology Physician
2086S0129X
Vascular Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
208M00000X
Hospitalist Physician
225100000X
Physical Therapist
5121
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110078204C
MA
05
110082159L
MA
01
603255
TUFTS
MA
01
604027
TUFTS
MA
01
M14923
BLUE SHIELD
MA
Enumeration date
05/24/2006
Last updated
01/29/2026
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