MEDICARE: REBEKAH SCOTCH 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	207L00000X	Anesthesiology Physician	223192	MA

General Provider Information

NPI Number	:	1497746143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBEKAH SCOTCH M.D.

Provider Business Mailing Address
First Line	:	575 BEECH ST
Second Line	:	ANESTHESIA DEPT
City	:	HOLYOKE
State	:	MA
Zip	:	01040-2223
Country	:	US
Telephone Number	:	413-534-2845
Fax Number	:	413-540-5053

Provider Business Practice Location Address
First Line	:	575 BEECH ST
Second Line	:	ANESTHESIA DEPT
City	:	HOLYOKE
State	:	MA
Zip	:	01040-2223
Country	:	US
Telephone Number	:	413-534-2845
Fax Number	:	413-540-5053

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	05/30/2008

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