Provider Demographics
NPI:1144326158
Name:GASCH, ALICE TRUE (MD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:TRUE
Last Name:GASCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ALICE
Other - Middle Name:WENTWORTH
Other - Last Name:TRUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4100 CATHEDRAL AVENUE
Mailing Address - Street 2:APT 510
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3513
Mailing Address - Country:US
Mailing Address - Phone:202-363-4446
Mailing Address - Fax:
Practice Address - Street 1:60 O STREET NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1259
Practice Address - Country:US
Practice Address - Phone:202-797-8806
Practice Address - Fax:202-265-0927
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDB00169133N00000X, 133V00000X
DCDI96133V00000X
MDD0055179207W00000X
VA0101053932207W00000X
MA156579207W00000X
DCMD32073207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCK4320001OtherCARE FIRST BLUE CROSS BLU
DC22479OtherDC CHARTERD HEALTH PLANS
DC5558OtherHEALTH RIGHT
G67327Medicare UPIN
DC491930Medicare ID - Type Unspecified