Healthcare Provider Details

I. General information

NPI: 1013035575
Provider Name (Legal Business Name): EMILY T REMUS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 N WASHINGTON ST STE 490
ALEXANDRIA VA
22314-1940
US

IV. Provider business mailing address

675 N WASHINGTON ST STE 490
ALEXANDRIA VA
22314-1940
US

V. Phone/Fax

Practice location:
  • Phone: 703-765-6093
  • Fax:
Mailing address:
  • Phone: 703-765-6093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC7-000 3530
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101345755
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMT 188774
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: