Provider Demographics
NPI:1497746143
Name:SCOTCH, REBEKAH (MD)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:SCOTCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 BEECH ST
Mailing Address - Street 2:ANESTHESIA DEPT
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2223
Mailing Address - Country:US
Mailing Address - Phone:413-534-2845
Mailing Address - Fax:413-540-5053
Practice Address - Street 1:575 BEECH ST
Practice Address - Street 2:ANESTHESIA DEPT
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2223
Practice Address - Country:US
Practice Address - Phone:413-534-2845
Practice Address - Fax:413-540-5053
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA223192207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA38052Medicare PIN
MAI23881Medicare UPIN