MEDICARE: DR. SUZANNE BEVERLY ROTHCHILD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	39314	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	729232	OTHER	MA	TUFTS HEALTH PLANS
3	130725	OTHER	MA	HARVARDPILGRIM HEALTHCARE

General Provider Information

NPI Number	:	1306883558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUZANNE BEVERLY ROTHCHILD M.D.

Provider Business Mailing Address
First Line	:	400 W CUMMINGS PARK
Second Line	:	SUITE 5300
City	:	WOBURN
State	:	MA
Zip	:	01801-6519
Country	:	US
Telephone Number	:	781-938-8885
Fax Number	:	781-938-9909

Provider Business Practice Location Address
First Line	:	400 W CUMMINGS PARK
Second Line	:	SUITE 5300
City	:	WOBURN
State	:	MA
Zip	:	01801-6519
Country	:	US
Telephone Number	:	781-938-8885
Fax Number	:	781-938-9909

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	05/27/2008

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Directions to “ DR. SUZANNE BEVERLY ROTHCHILD M.D.” Practice Location

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