Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Digestive Disease Physicians
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
224D CORNWALL ST NW, SUITE 403, LEESBURG, VA 20176-2700
(703) 777-3262
Mailing address
8988 LORTON STATION BLVD, SUITE 201, LORTON, VA 22079-4756
(703) 751-5763
(703) 370-8704
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
08/18/2023
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