Loudoun Medical Group, PC
Internal Medicine in Dulles, VA. Organization (NPI-2).
NPI number1669914792
StatusActive
Last updated in NPPESDec 1, 2023
Details
- NPI
- 1669914792
- Entity type
- Organization (NPI-2)
- Legal business name
- Loudoun Medical Group, PC
- Organization subpart
- Yes
- Enumeration date
- Nov 7, 2016
- Certification date
- Dec 1, 2023
- Last updated
- Dec 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Loudoun Internal Medicine Associates (Doing Business As)
Practice location
24430 Stone Springs Blvd,Suite 275
Dulles, VA 20166-2270
Phone 571-695-3260 · Fax 703-858-3221
Mailing address
224-D Cornwall Street, Nw, Suite 403Suite 403
Leesburg, VA 20176-2700
Phone 703-737-6010 · Fax 703-443-8643
Authorized official
Mary Beth Tamasy
Ceo
7037376010
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All 8 Internal Medicine Physician providers in Dulles · All 182 providers in Dulles
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