| Doctor Name: | RUSSELL MALING |
| NPI Number: | 1528040607 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 155323 |
| Business Practice Address: | 88 Washington St Taunton, MA - 027802465 |
| Business Phone Number: | 5088287208 |
| Business Fax Number: | 5088287204 |
| Mailing Address: | Po Box 9135, BROOKLINE |
| State: | MA |
| Postal Code: | 024469135 |
| Phone Number: | 8009270002 |
| Fax Number: | 6038938886 |
| NPI Enumeration Date: | 11/15/2005 |
| NPI Last Update Date: | 01/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 155323 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |