Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Matthew B. Gavin, MD
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
224-D CORNWALL STREET, NW, SUITE 204, LEESBURG, VA 20176-2700
(703) 777-3262
(703) 777-3365
Mailing address
224-D CORNWALL ST, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101043432
VA
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/16/2008
Last updated
04/24/2023
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