Loudoun Medical Group, PC

NPI #1407908817 in Reston, Virginia

Provider Information

NPI Number: 1407908817
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: Jan 17, 2007
Last Updated: Nov 9, 2023

Practice Location

Address: 1860 TOWN CENTER DRIVE, SUITE 225
City: Reston
State: Virginia
ZIP Code: 20190-5905
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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