# LOUDOUN MEDICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOUDOUN MEDICAL GROUP, PC
- **Other names:** Richard Nemeth, MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639542160
- **Legal business name:** LOUDOUN MEDICAL GROUP, PC
- **Authorized official:** MARY BETH TAMASY (CEO)
- **Authorized official phone:** (703) 737-6010

## Contact information

- **Practice address:** 3911 OLD LEE HWY, SUITE 41-C, FAIRFAX, VA 22030-2434
- **Practice address phone:** (703) 317-9500
- **Practice address fax:** (703) 317-4900
- **Mailing address:** PO BOX 17334, BALTIMORE, MD 21297-1334
- **Mailing address phone:** (703) 443-6717
- **Mailing address fax:** (703) 443-8643

## Taxonomy

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

## Other

- **Enumeration date:** 11/05/2015
- **Last updated:** 08/18/2023