Individual
DR. DAVID MISCHOULON
Active
Individual
DR. DAVID MISCHOULON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
152539
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152539
TUFTS
MA
05
—
3176991
—
MA
01
—
J18671
BCBS
MA
Enumeration date
09/26/2005
Last updated
07/13/2026
Update your record
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