Mt Auburn Prof Services

LBN: Mt Auburn Prof Services
Mt Auburn Prof Services is an health care organization with primary practice located at One Arsenal Marketplace , Watertown MA 02472-2861. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mt Auburn Prof Services can be contacted via phone (617) 673-1851, or through Smith, Brian via phone (405) 245-6238.

Contact Information

Primary practice address
One Arsenal Marketplace Watertown MA 02472-2861
Phone: (617) 673-1851
Fax: (617) 499-5579
Website:
Map and Directions
Authorized official contact:
Name: Smith, Brian
Phone: (405) 245-6238

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Massachusetts

Profile Details

NPI number 1255674636
LBN Legal business name Mt Auburn Prof Services
DBA Doing business as
Authorized official Smith, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2013
Last updated May 5th, 2024 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255674636 NPPES
Massachusetts MEDICAID 110078204C
Massachusetts Other 603255

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