Provider Demographics
NPI:1033200910
Name:TIU, ROSCHIEL DOBLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSCHIEL
Middle Name:DOBLE
Last Name:TIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10403 HOSPITAL DR
Mailing Address - Street 2:SUITE G-04
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3134
Mailing Address - Country:US
Mailing Address - Phone:301-856-3019
Mailing Address - Fax:301-856-9370
Practice Address - Street 1:950 SWAN CREEK RD E
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5250
Practice Address - Country:US
Practice Address - Phone:301-292-0236
Practice Address - Fax:301-856-9370
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2009-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0065063207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD89406701 - KR10MEOtherBCBS MARYLAND FOR MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND
MD1851473722OtherGROUP NPI - MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND
MD411851100Medicaid
MD1710998968OtherGROUP NPI - FORT WASHINGTON OBGYN SERVICES
DCB776-0029OtherBCBS NCA FOR MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND
MD020756M16Medicare PIN