| Mt Auburn Prof Services | |
|
One Arsenal Marketplace Watertown MA 02472-2861 | |
| (617) 673-1851 | |
| (617) 499-5579 |
| Full Name | Mt Auburn Prof Services |
|---|---|
| Speciality | Internal Medicine |
| Location | One Arsenal Marketplace, Watertown, Massachusetts |
| Authorized Official Name and Position | Brian Smith (CFO) |
| Authorized Official Contact | 4052456238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Auburn Prof Services One Arsenal Marketplace Watertown MA 02472-2861 Ph: (617) 673-1851 | Mt Auburn Prof Services One Arsenal Marketplace Watertown MA 02472-2861 Ph: (617) 673-1851 |
| NPI Number | 1255674636 |
|---|---|
| Provider Enumeration Date | 04/03/2013 |
| Last Update Date | 05/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255674636 | NPI | - | NPPES |
| 110078204C | Medicaid | MA | |
| 603255 | Other | MA | TUFTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Massachusetts) | Primary |
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