# LOUDOUN MEDICAL GROUP CHARITABLE FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOUDOUN MEDICAL GROUP CHARITABLE FOUNDATION
- **Other names:** IFMC Foundation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396040986
- **Legal business name:** LOUDOUN MEDICAL GROUP CHARITABLE FOUNDATION
- **Authorized official:** MARY BETH TAMASY (CEO)
- **Authorized official phone:** (703) 737-6010

## Contact information

- **Practice address:** 116Q EDWARDS FERRY RD NE, LEESBURG, VA 20176-2301
- **Practice address phone:** (703) 669-6118
- **Practice address fax:** (703) 669-6996
- **Mailing address:** 116Q EDWARDS FERRY RD NE, LEESBURG, VA 20176-2301
- **Mailing address phone:** (703) 669-6118
- **Mailing address fax:** (703) 669-6996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2011
- **Last updated:** 01/13/2011