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Contact Information

EPHAT H RUSSCOL, MD
109 OAK ST
NEWTON, MA02464-1492
 Phone: 781-619-1500
 Fax: 781-619-1509
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for EPHAT H RUSSCOL · (Female)

NPI # 1598925356
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2008
Last updated 06/10/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • MA License # 246598
  • MA Medicaid 110089410A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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