Active NPIOrganization

Mt Auburn Professional Service

Internal Medicine in Medford, Massachusetts

NPI Number1962686816
Practice location
101 Main St, Ste 110, Medford, MA 02155-4540
Fax
781-322-1394
Last updated
May 5, 2024

Mt Auburn Professional Service is a healthcare organization based in Medford, MA. Mt Auburn Professional Service practices in Medford, MA. The NPI Number for Mt Auburn Professional Service is 1962686816. The current practice location address for Mt Auburn Professional Service is 101 Main St, Ste 110, Medford, MA 02155-4540 and can be reached out via phone at 781-396-4514 and via fax at 781-322-1394.

Provider Profile Details

NPI Number
1962686816
Provider Name
Mt Auburn Professional Service
Provider Entity Type
Organization
Address
101 Main St, Ste 110, Medford, MA 02155-4540
Phone Number
781-396-4514
Fax Number
781-322-1394
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Mr. Brian Smith · Cfo · 405-245-6238
Provider Enumeration Date
December 27, 2007
Last Update Date
May 5, 2024
Certification Date
May 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Main St
Ste 110
Medford, MA 02155-4540
Zip
02155-4540
Phone Number
781-396-4514
Fax Number
781-322-1394
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
One Arsenal Marketplace
Watertown, MA 02472
City
Watertown
State
MA
Zip
02472
Phone Number
617-673-1851
Fax Number
617-499-5579

License Information

Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mt Auburn Professional Service?

The NPI number of Mt Auburn Professional Service is 1962686816. It was assigned on December 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Mt Auburn Professional Service?

Mt Auburn Professional Service is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does Mt Auburn Professional Service practice?

The practice location is 101 Main St, Ste 110, Medford, MA 02155-4540. The office can be reached at 781-396-4514 (phone) or 781-322-1394 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962686816 directly on the NPPES registry website.

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