MT AUBURN PROFESSIONAL OBGYN NPI 1609291376

NPI Information

  • NPI: 1609291376
  • Provider Name: MT AUBURN PROFESSIONAL OBGYN
  • Classification: Obstetrics & Gynecology - 207VX0201X
  • Specialization: Gynecologic Oncology
  • Entity Type: Organization
  • Address: ONE ARSENAL MARKETPLACE
    WATERTOWN, MA
    ZIP 02472
  • Phone: (617) 499-5644

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NPI Details

MT AUBURN PROFESSIONAL OBGYN is a gynecologic oncology obstetrics gynecology in Watertown, MA. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. MT AUBURN PROFESSIONAL OBGYN NPI is 1609291376. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

ONE ARSENAL MARKETPLACE
WATERTOWN, MA
ZIP 02472-861
Phone: (617) 499-5644
Fax: (617) 499-5620

The provider's authorized official is Brian Smith .
The authorized official title is Cfo and has the following contact phone number (405) 245-6238.

The enumeration date for this NPI number is 3/4/2014 and was last updated on 5/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyNo
2207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryMASSACHUSETTSNo
3207VX0201XObstetrics & GynecologyGynecologic OncologyMASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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