NPI 1457646606

Loudoun Medical Group, PC

Organisation Plastic Surgery Physician Reston, VA

Practice location

Address: 1860 Town Center Dr Suite 340, Reston, VA 20190-5896
Phone: (703) 858-3208
Fax: (703) 547-9984
Mailing address: PO Box 17334, Baltimore, MD 21297-1334

Authorised official

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

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Virginia →

Registry record

NPI: 1457646606
Entity type: Organization
NPI issued: 16 Jun 2011
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.