Loudoun Medical Group, PC

NPI #1629520531 in Dulles, Virginia

Provider Information

NPI Number
1629520531
Entity Type
Organization
Organization Name
Loudoun Medical Group, PC
Subpart
Yes (part of a larger organization)
Parent Organization
LOUDOUN MEDICAL GROUP, PC
Primary Specialty
Family Medicine
Enumeration Date
Oct 26, 2016
Last Updated
Apr 24, 2023

Practice Location

Address
24430 STONE SPRINGS BLVD
Address 2
SUITE 135
City
Dulles
ZIP Code
20166-2269
Phone
(703) 957-1255

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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