Loudoun Medical Group, PC

NPI #1093473639 in Dulles, Virginia

Provider Information

NPI Number: 1093473639
Entity Type: Organization
Organization Name: Loudoun Medical Group, PC
Subpart: Yes (part of a larger organization)
Parent Organization: LOUDOUN MEDICAL GROUP, PC
Primary Specialty: Surgery
Enumeration Date: Dec 1, 2021
Last Updated: Sep 5, 2023

Practice Location

Address: 24430 STONE SPRINGS BLVD STE 215
City: Dulles
State: Virginia
ZIP Code: 20166-2268
Phone: (703) 858-3200

Authorized Official

Name: MARY BETH TAMASY
Title: CEO
Phone: (571) 707-2048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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