Healthcare Provider Details

I. General information

NPI: 1578633871
Provider Name (Legal Business Name): ROCHELLE GAIL SCHEIB MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 BROOKLINE AVE YC1250
BOSTON MA
02115
US

IV. Provider business mailing address

450 BROOKLINE AVE YC1250
BOSTON MA
02215-5418
US

V. Phone/Fax

Practice location:
  • Phone: 617-632-3800
  • Fax: 617-632-1930
Mailing address:
  • Phone: 617-632-3800
  • Fax: 617-632-1930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number58167
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: