Loudoun Medical Group, PC

NPI #1497142632 in Leesburg, Virginia

Provider Information

NPI Number
1497142632
Entity Type
Organization
Organization Name
Loudoun Medical Group, PC
Subpart
Yes (part of a larger organization)
Parent Organization
LOUDOUN MEDICAL GROUP, PC
Primary Specialty
Ophthalmology
Enumeration Date
Apr 24, 2015
Last Updated
Apr 24, 2023

Practice Location

Address
44135 WOODRIDGE PKWY
Address 2
SUITE 100
ZIP Code
20176-1244
Phone
(703) 858-3170

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Ophthalmology

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