Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mt Auburn Professional OBGYN

Organization Obstetrics & Gynecology Physician · NPI 1609291376

Mt Auburn Professional OBGYN is an Obstetrics & Gynecology Physician in Watertown, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2014.

Licensed in
MA
In the registry since
2014
Specialties on file
3

Practice location Partly verified

Some contact details are missing from the federal record.

One Arsenal Marketplace
Watertown, MA 02472-2861
Phone: (617) 499-5644
Fax: (617) 499-5620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X (MA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Taxonomy 207VF0040X (MA)

Record details

NPI number1609291376
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Smith — Cfo · (405) 245-6238
NPI enumeratedMarch 4, 2014
Last updated in NPPESMay 5, 2024
Certification dateMay 5, 2024
Mailing addressOne Arsenal Marketplace, Watertown, MA 02472-2861

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