NPI 1215684204

Loudoun Medical Group, PC

Organisation Gastroenterology Physician Chantilly, VA

Practice location

Address: 3914 Centreville Road, Suite 350, Chantilly, VA 20151
Phone: (703) 263-3393
Fax: (703) 828-0943
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

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X

Other Internal Medicine providers in Virginia →

Registry record

NPI: 1215684204
Entity type: Organization
NPI issued: 9 Mar 2022
Record last updated: 18 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.