Organization
JASON MISHOE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MISHOE NP (PROVIDER)
(352) 256-9347
Entity
Organization
Contact information
Practice address
1280 CENTRE ST STE 220, NEWTON, MA 02459-1553
(352) 256-9347
(617) 344-3782
Mailing address
1280 CENTRE ST STE 220, NEWTON, MA 02459-1553
(617) 344-3782
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
05/13/2026
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