Loudoun Medical Group, PC

NPI #1962850107 in Dulles, Virginia

Provider Information

NPI Number
1962850107
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
May 27, 2016
Last Updated
Aug 18, 2023

Practice Location

Address
24430 STONE SPRINGS BLVD
Address 2
SUITE 250
City
Dulles
ZIP Code
20166-2247
Phone
(703) 404-5900

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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