Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Virginia Heartburn and Hernia Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUDOUN MEDICAL GROUP, PC
Authorized official
MARYBETH TAMASY (CEO)
(703) 737-6010
Entity
Organization
Contact information
Practice address
8988 LORTON STATION BLVD, SUITE 202, LORTON, VA 22079-4758
(703) 392-2280
(703) 372-2024
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
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/28/2022
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