# LOUDOUN MEDICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOUDOUN MEDICAL GROUP, PC
- **Other names:** Endocrine Health & Wellness
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205505955
- **Legal business name:** LOUDOUN MEDICAL GROUP, PC
- **Authorized official:** MARY BETH TAMASY (CEO)
- **Authorized official phone:** (703) 737-6010

## Contact information

- **Practice address:** 24430 STONE SPRINGS BLVD., SUITE 100, DULLES, VA 20166-2269
- **Practice address phone:** (703) 844-8380
- **Practice address fax:** (703) 263-8393
- **Mailing address:** 224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
- **Mailing address phone:** (703) 737-6010
- **Mailing address fax:** (571) 291-9786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2021
- **Last updated:** 09/16/2022