Loudoun Medical Group, PC

NPI #1295427623 in Alexandria, Virginia

Provider Information

NPI Number: 1295427623
Entity Type: Organization
Organization Name: Loudoun Medical Group, PC
Subpart: Yes (part of a larger organization)
Parent Organization: LOUDOUN MEDICAL GROUP, PC
Primary Specialty: Anesthesiology
Enumeration Date: May 24, 2023
Last Updated: May 24, 2023

Practice Location

Address: 4660 KENMORE AVENUE, SUITE 100
City: Alexandria
State: Virginia
ZIP Code: 22304-1306
Phone: (703) 751-5763

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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