| Mt Auburn Professional Service | |
|
101 Main St Ste 110 Medford MA 02155-4540 | |
| (781) 396-4514 | |
| (781) 322-1394 |
| Full Name | Mt Auburn Professional Service |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Main St, Medford, 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 Professional Service One Arsenal Marketplace Watertown MA 02472 Ph: (617) 673-1851 | Mt Auburn Professional Service 101 Main St Ste 110 Medford MA 02155-4540 Ph: (781) 396-4514 |
| NPI Number | 1962686816 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 05/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962686816 | NPI | - | NPPES |
| M19292 | Other | MA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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