Loudoun Medical Group, PC

NPI #1053077826 in Fairfax, Virginia

Provider Information

NPI Number: 1053077826
Entity Type: Organization
Organization Name: Loudoun Medical Group, PC
Subpart: Yes (part of a larger organization)
Parent Organization: LOUDOUN MEDICAL GROUP, PC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 16, 2021
Last Updated: Sep 26, 2022

Practice Location

Address: 8316 ARLINGTON BOULEVARD, SUITE 615
City: Fairfax
State: Virginia
ZIP Code: 22031
Phone: (703) 560-8877

Authorized Official

Name: MARY BETH TAMASY
Title: CEO
Phone: (703) 737-6010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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