Loudoun Medical Group, PC

NPI #1205505955 in Dulles, Virginia

Provider Information

NPI Number: 1205505955
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 - Endocrinology, Diabetes & Metabolism
Enumeration Date: Sep 7, 2021
Last Updated: Sep 16, 2022

Practice Location

Address: 24430 STONE SPRINGS BLVD., SUITE 100
City: Dulles
State: Virginia
ZIP Code: 20166-2269
Phone: (703) 844-8380

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X	Primary

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