Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Loudoun Gastroenterology
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
24430 STONE SPRINGS BLVD, SUITE 100, DULLES, VA 20166-2247
(703) 737-6012
Mailing address
224D CORNWALL ST NW, SUITE 403, LEESBURG, VA 20176-2700
(703) 737-6012
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/25/2017
Last updated
08/18/2023
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