Loudoun Medical Group, PC

NPI #1083890404 in Leesburg, Virginia

Provider Information

NPI Number: 1083890404
Entity Type: Organization
Organization Name: Loudoun Medical Group, PC
Subpart: Yes (part of a larger organization)
Parent Organization: LOUDOUN MEDICAL GROUP, PC
Primary Specialty: Pediatrics
Enumeration Date: Jan 16, 2008
Last Updated: Sep 27, 2022

Practice Location

Address: 224-D CORNWALL STREET, NW, SUITE 104
City: Leesburg
State: Virginia
ZIP Code: 20176-2700
Phone: (703) 779-0699

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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