Healthcare Provider Details

I. General information

NPI: 1831248400
Provider Name (Legal Business Name): SHON ANTHONY REMICH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVE NW STE 1J93
WASHINGTON DC
20307-0003
US

IV. Provider business mailing address

2100 APPLE TREE LN
SILVER SPRING MD
20905-4413
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-6849
  • Fax:
Mailing address:
  • Phone: 301-879-4990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD32358
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: