Provider Demographics
NPI:1538329453
Name:ROSCHE-SCOTT, MADELAINE ODETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:MADELAINE
Middle Name:ODETTE
Last Name:ROSCHE-SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MADELAINE
Other - Middle Name:ODETTE
Other - Last Name:ROSCHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10810 CONNECTICUT AVENUE
Mailing Address - Street 2:DEPARTMENT OF OBGYN
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895
Mailing Address - Country:US
Mailing Address - Phone:202-853-2152
Mailing Address - Fax:
Practice Address - Street 1:10810 CONNECTICUT AVENUE
Practice Address - Street 2:DEPARTMENT OF OBGYN
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895
Practice Address - Country:US
Practice Address - Phone:202-853-2152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD040526207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology