Individual
DR. EPHAT HADAS RUSSCOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 OAK ST, NEWTON, MA 02464-1492
(781) 619-1500
(781) 619-1509
Mailing address
109 OAK ST, NEWTON, MA 02464-1492
(781) 619-1500
(781) 619-1509
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
246598
MA
2080P0006X
Developmental - Behavioral Pediatrics Physician
246598
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089410A
—
MA
Enumeration date
06/14/2008
Last updated
06/10/2025
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