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Organization

LOUDOUN MEDICAL GROUP, PC

Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
OG EMG
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
19450 DEERFIELD AVENUE, SUITE 200, LEESBURG, VA 20176
(703) 777-3262
(703) 777-3365
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176
(703) 737-6010
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary

Other

Enumeration date
02/21/2023
Last updated
02/24/2023
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