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Loudoun Medical Group, PC

Otolaryngology, Facial Plastic Surgery in Alexandria, VA. Organization (NPI-2).

NPI number1144461930
StatusActive
Last updated in NPPESSep 22, 2022

Details

NPI
1144461930
Entity type
Organization (NPI-2)
Legal business name
Loudoun Medical Group, PC
Organization subpart
Yes
Enumeration date
Mar 9, 2009
Certification date
Sep 22, 2022
Last updated
Sep 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207YS0123X Otolaryngology, Facial Plastic Surgery––Yes

Other names

  • Metropolitan Ent & Facial Plastic Surgery (Doing Business As)

Practice location

6355 Walker Lane
Suite 308
Alexandria, VA 22310-3247

Phone 703-313-7700 · Fax 703-313-0178

Mailing address

224d Cornwall St Nw Ste 403
Leesburg, VA 20176-2704

Phone 703-737-6010 · Fax 571-291-9786

Authorized official

Mary Beth Tamasy
Ceo
7037376010

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