NPI 1104584747

Loudoun Medical Group, PC

Organisation Orthopaedic Surgery Physician Leesburg, VA

Practice location

Address: 19450 Deerfield Avenue, Suite 200, Leesburg, VA 20176-6821
Phone: (703) 777-3262
Fax: (703) 777-3365
Mailing address: 224-D Cornwall St., NW Suite 403, Leesburg, VA 20176-2704

Authorised official

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

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Virginia →

Registry record

NPI: 1104584747
Entity type: Organization
NPI issued: 1 Dec 2021
Record last updated: 24 Apr 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.