MEDICARE: SUZANNE B ROTHCHILD MD PC

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	174400000X	Specialist	39314	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M17316	OTHER	MA	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982760641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUZANNE B ROTHCHILD MD PC

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	:	PRESIDENT
Name	:	DR. SUZANNE B ROTHCHILD
Credential	:	M.D.
Telephone Number	:	781-938-8885

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	05/27/2008

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