Loudoun Medical Group, PC

NPI #1659728889 in Dulles, Virginia

Provider Information

NPI Number: 1659728889
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
Enumeration Date: May 18, 2016
Last Updated: Nov 9, 2023

Practice Location

Address: 24430 STONE SPRINGS BLVD
Address 2: SUITE 545
City: Dulles
State: Virginia
ZIP Code: 20166-2267
Phone: (703) 957-1022

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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