Loudoun Medical Group, PC

NPI #1235664897 in Reston, Virginia

Provider Information

NPI Number: 1235664897
Entity Type: Organization
Organization Name: Loudoun Medical Group, PC
Subpart: Yes (part of a larger organization)
Parent Organization: LOUDOUN MEDICAL GROUP, PC
Primary Specialty: Urology - Urogynecology and Reconstructive Pelvic Surgery
Enumeration Date: Apr 20, 2017
Last Updated: Apr 24, 2023

Practice Location

Address: 1860 TOWN CENTER DR, SUITE 140
City: Reston
State: Virginia
ZIP Code: 20190-5898
Phone: (703) 293-5239

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology - Urogynecology and Reconstructive Pelvic Surgery — Urogynecology and Reconstructive Pelvic Surgery	2088F0040X	Primary

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