NPI 1003335886
Loudoun Medical Group, PC
Practice location
- Address
- 46440 Benedict Drive, Suite 107, Sterling, VA 20164-6602
- Phone
- (571) 707-2079
- Fax
- (571) 291-9196
- Mailing address
- 224-D Cornwall Street, NW, Suite 403, Leesburg, VA 20176-2704
Authorised official
- Name
- Mary Beth Tamasy
- Title
- Ceo
- Phone
- (703) 737-6010
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1003335886
- Entity type
- Organization
- NPI issued
- 13 Sep 2017
- 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.