NPI 1205522810
Loudoun Medical Group, PC
Practice location
- Address
- 107 Tavern Road, Martinsburg, WV 25401-2841
- Phone
- (304) 267-4282
- Mailing address
- 224-D Cornwall Street, NW. Suite 403, Leesburg, VA 20176
Authorised official
- Name
- Mary Beth Tamasy
- Title
- Ceo
- Phone
- (703) 737-6010
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1205522810
- Entity type
- Organization
- NPI issued
- 17 Apr 2023
- Record last updated
- 17 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.