Individual
DR. RONALD SCHOUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN STREET WAC 805, PSYCHIATRY OUTPATIENT REFERRAL SERVICE, BOSTON, MA 02114
(617) 726-5195
(617) 724-2808
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-5195
(617) 724-2808
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
57151
MA
2084P0800X
Psychiatry Physician
G71698
CA
2084P0800X
Psychiatry Physician
S235135-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057151
TUFTS HEALTH PLAN
MA
05
—
3024954
—
MA
01
—
J06126
BCBS MA
MA
Enumeration date
01/05/2006
Last updated
11/14/2012
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