Provider Demographics
NPI:1740263847
Name:TANYI-REMARCK, LAURA BESSEM (MD)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:BESSEM
Last Name:TANYI-REMARCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:BESSEM
Other - Last Name:ASHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M,D
Mailing Address - Street 1:9210 COLESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1656
Mailing Address - Country:US
Mailing Address - Phone:301-650-0060
Mailing Address - Fax:301-650-0080
Practice Address - Street 1:9210 COLESVILLE RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1656
Practice Address - Country:US
Practice Address - Phone:301-650-0060
Practice Address - Fax:301-650-0080
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0059520207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD402676401Medicaid
H97328Medicare UPIN
MD679MJ842Medicare ID - Type Unspecified