Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Family Allergy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUDOUN MEDICAL GROUP, PC
Authorized official
MARY BETH TAMASY (CEO)
(703) 737-6010
Entity
Organization
Contact information
Practice address
13890 BRADDOCK RD SUITE 206, CENTREVILLE, VA 20121-2437
(703) 263-2333
(703) 263-0361
Mailing address
224D CORNWALL ST NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6001
(571) 291-9786
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
08/18/2023
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