NPI 1003276783

Loudoun Medical Group, PC

Organisation Pediatrics Physician Chantilly, VA

Practice location

Address: 24805 Pinebrook Road, Suite 109, Chantilly, VA 20152-4127
Phone: (703) 729-7652
Fax: (703) 729-8746
Mailing address: 224d Cornwall Street, NW, STE 403, Leesburg, VA 20176-2704

Authorised official

Name: Mary Beth Tamasy
Title: Ceo
Phone: (703) 737-6010

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Virginia →

Registry record

NPI: 1003276783
Entity type: Organization
NPI issued: 24 Feb 2016
Record last updated: 17 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.