MEDICARE: CANDICE KREMER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	0101278306	VA

General Provider Information

NPI Number	:	1154811479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDICE KREMER MD

Provider Business Mailing Address
First Line	:	1635 N GEORGE MASON DR STE 250
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3606
Country	:	US
Telephone Number	:	703-524-1212
Fax Number	:

Provider Business Practice Location Address
First Line	:	1635 N GEORGE MASON DR STE 250
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3606
Country	:	US
Telephone Number	:	703-524-1212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2018
Last Update Date	:	06/21/2023

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Directions to “ CANDICE KREMER MD” Practice Location

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