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Organization

LOUDOUN MEDICAL GROUP, PC

Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
The Iyer Clinic
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) 404-5900
(703) 421-1099
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
11/07/2016
Last updated
04/24/2023
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