Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Virginia Center for Neuroscience
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUDOUN MEDICAL GROUP, PC
Authorized official
MRS. MARY BETH TAMASY (CEO)
(703) 737-6010
Entity
Organization
Contact information
Practice address
24430 STONE SPRINGS BLVD SUITE 100, DULLES, VA 20166-2269
(703) 293-5244
(703) 858-5323
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(571) 291-9786
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
04/24/2023
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