Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Gynecology and Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUDOUN MEDICAL GROUP, PC
Authorized official
MARY BETH TAMASY (CEO)
(703) 737-6012
Entity
Organization
Contact information
Practice address
3301 WOODBURN RD STE 309, ANNANDALE, VA 22003-7308
(703) 435-2555
(571) 926-8910
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
08/18/2023
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