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

Mount Auburn Athletic Club, Inc

Organization Registered Dietitian · NPI 1083029094

Mount Auburn Athletic Club, Inc provides Registered Dietitian services in Watertown, Massachusetts. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

57 Coolidge Ave
Watertown, MA 02472-2802 Not confirmed with CMS for 11 years — call before visiting
Phone: (617) 923-0055
Fax: (617) 812-8016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1083029094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Crowley — Executive Director · (617) 923-0055
NPI enumeratedJune 27, 2014
Last updated in NPPESMarch 9, 2015
Mailing address57 Coolidge Ave, Watertown, MA 02472-2802

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