Provider Demographics
NPI:1568524718
Name:MASCETTE, ALICE MARIE-MARGARET (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:MARIE-MARGARET
Last Name:MASCETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:403 CREEK CROSSING RD NE
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-3565
Mailing Address - Country:US
Mailing Address - Phone:703-242-2057
Mailing Address - Fax:301-480-7971
Practice Address - Street 1:WALTER REED ARMY MEDICAL CTR
Practice Address - Street 2:6900 GEORGIA AVE., NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-3833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101035501207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease