Loudoun Medical Group, PC

NPI #1760029904 in Aldie, Virginia

Provider Information

NPI Number: 1760029904
Entity Type: Organization
Organization Name: Loudoun Medical Group, PC
Subpart: Yes (part of a larger organization)
Parent Organization: LOUDOUN MEDICAL GROUP, PC
Primary Specialty: Dermatology
Enumeration Date: Dec 6, 2019
Last Updated: Aug 18, 2023

Practice Location

Address: 24560 SOUTHPOINT DRIVE, SUITE 230
City: Aldie
State: Virginia
ZIP Code: 20105-3505
Phone: (703) 957-0416

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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