Provider Demographics
NPI:1578633871
Name:SCHEIB, ROCHELLE GAIL (MD)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:GAIL
Last Name:SCHEIB
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 1:450 BROOKLINE AVE
Mailing Address - Street 2:YC1250
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5418
Mailing Address - Country:US
Mailing Address - Phone:617-632-3800
Mailing Address - Fax:617-632-1930
Practice Address - Street 1:450 BROOKLINE AVE
Practice Address - Street 2:YC1250
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-3800
Practice Address - Fax:617-632-1930
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA58167207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3040031OtherUNITED HEALTH CARE
110154677OtherRR MEDICARE DFCI
MAJ10325OtherBLUE CROSS BLUE SHIELD
6878718OtherCIGNA
058167OtherTUFTS
2067484OtherAETNA US HEALTHCARE
0173771OtherMASSHEALTH MA MEDICAID
65569OtherFALLON COMMUNITY HLTH PLN
C89224DFOtherHPHC DFCI ONLY
3040031OtherUNITED HEALTH CARE
C89224DFOtherHPHC DFCI ONLY