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DR. EPHAT HADAS RUSSCOL MD NPI 1598925356


NPI Information

NPI: 1598925356
Provider Name: DR. EPHAT HADAS RUSSCOL, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
105 COMMERCIAL ST
MALDEN, MA
ZIP 02148
Phone: (781) 322-5101
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DR. Ephat Hadas Russcol, MD is a pediatrics in Malden, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Ephat Hadas Russcol, MD NPI is 1598925356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

105 COMMERCIAL ST
MALDEN, MA
ZIP 02148-509
Phone: (781) 322-5101
Fax: (781) 322-5820

The enumeration date for this NPI number is 6/14/2008 and was last updated on 3/29/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics246598MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110089410AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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