NPI 1083480925
Loudoun Medical Group, PC
Practice location
- Address
- 19450 Deerfield Avenue, Suite 275, Leesburg, VA 20176-8424
- Phone
- (703) 723-6774
- Fax
- (703) 723-1494
- Mailing address
- 224 D Cornwall Street NW STE 403, Leesburg, VA 20176-2704
Authorised official
- Name
- Mary Beth Tamasy
- Title
- Ceo
- Phone
- (703) 737-6010
Registered specialties
Orthopaedic Surgery of the Spine Physician
Primary
Registry record
- NPI
- 1083480925
- Entity type
- Organization
- NPI issued
- 1 Dec 2023
- Record last updated
- 1 Dec 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.