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Organization

LOUDOUN MEDICAL GROUP CHARITABLE FOUNDATION

Active
Parent organization
LOUDOUN MEDICAL GROUP CHARITABLE FOUNDATION
Other names
IFMC Foundation
Organization subpart
Yes

Provider details

NPI number
Legal business name
LOUDOUN MEDICAL GROUP CHARITABLE FOUNDATION
Authorized official
MARY BETH TAMASY (CEO)
(703) 737-6010
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
01/13/2011
Last updated
01/13/2011
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