Loudoun Medical Group, PC

NPI #1720358179 in Herndon, Virginia

Provider Information

NPI Number: 1720358179
Entity Type: Organization
Organization Name: Loudoun Medical Group, PC
Subpart: Yes (part of a larger organization)
Parent Organization: LOUDOUN MEDICAL GROUP, PC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 3, 2012
Last Updated: Apr 24, 2023

Practice Location

Address: 13505 DULLES TECHNOLOGY DRIVE, SUITE 1A
City: Herndon
State: Virginia
ZIP Code: 20171-3404
Phone: (703) 404-5900

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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